Nerve injury after regional nerve block in carotid endarterectomy operations

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Canbay Sarılar Ç., Sungur Z., Doğru M., Bulut S., Göksel O. S.

22st National Vascular and Endovascular Surgery Congress and the 13th National Phlebology Congress, Antalya, Türkiye, 6 - 09 Kasım 2025, ss.312, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Antalya
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.312
  • İstanbul Üniversitesi Adresli: Evet

Özet

Aim: Cervical plexus block is a regional anesthesia method which is preferred in carotid endarterectomy(CEA). Awakeness of the

patient with cervical plexus block is mandatory to asess neurological functions during surgery. Although there might be paralysis of

phrenic nerve,glossopharingeal nerve or hypoglossal nerve.

Material and Methods: For CEA, superficial or deep cervical plexus block can perform for peripheral nerve block. Superficial

cervical plexus block is safer and easier to perfom than deep block.

Results: In our case, we reported a nerve injury case after deep cervical block. In order to achieve deep cervical plexus block,

C2,C3,C4 nerve roots were blocked. For superficial cervical plexus block, posterior border of the sternocleidomastoid muscle was

punctured anesthetized

Conclusion: After the deep cervical block, patient’s mouth was dropped, skin folders were effaced. Patient was awaked without

any other motor or sensory loss. The facial nerve paralysis was diagnosed.Facial nerve is a motor nerve which affect all the facial

expressions.Temporary facial nerve paralysis may be seen after deep cervical block.

Keywords: Carotid endarterectomy, cervical block, facial nerve injury