A Case of Contralateral Hypoglossal Nerve Palsy after Peroral Resection of Submandibular Gland

Korean Journal of Head & Neck Oncology 2016;32(1):41-44.
Published online May 30, 2016.

Won Woo Ban;Myung Jin Ban;Chi Kyou Lee;Jae Hong Park

경구강 악하선 절제술 후 발생한 반대측 설하신경 마비 1례

반원우;반명진;이치규;박재홍

Abstract

The resection of submandibular gland is usually performed via trascervical, transoral approach. The authors suspected the stenosis of Wharton's duct of 54 years old female patient after transoral removal of submandibular stone and the resection of submandibular gland was decided. Because of cosmetic need, the resection was per-formed transorally. The operation was completed successfully without any injury to unilateral lingual nerve or hypoglossal nerve but contralateral paralysis of hypoglossal nerve was seen. In our knowledge, this is the first report of contralateral hypoglossal nerve palsy during transoral resection of submandibular gland.

Key Words: Sialolithiasis, Peroral resection of submandibular gland, Paralysis of hypoglossal nerve