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Journal Information
Vol. 54. Issue 2.
Pages 157-160 (February 2003)
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Vol. 54. Issue 2.
Pages 157-160 (February 2003)
Consecuencias de la sección bilateral del vago a nivel cervical
Consequences of the bilateral vagus nerve section at a cervical level
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X. León1,1, C. Orús1, M. López1, S. Sainz2, M. Quer1
1 Correspondencia: Servicio de otorrinolaringología
2 Servicio de aparato digestivo. Hospital de sant pau. Barcelona
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Resumen

Presentamos la clínica correspondiente a la sección bilateral del tronco principal del nervio vago a nivel cervical en un paciente con un carcinoma de orofaringe con afectación ganglionar bilateral. Como consecuencia de la exéresis de ambos nervios vagos en el curso de cirugía ganglionar, además de la afectación motora y sensitiva a nivel laringo-faríngeo, se produjo una atonía esófago-gastro-duodenal que obligó a nutrición enteral con acceso directo a yeyuno, y una alteración del ritmo cardíaco por pérdida de estimulación parasimpática.

Palabras clave:
Parálisis del nervio vago
Vaciamiento cervical
Complicaciones
Abstract

We present the consequences corresponding to a bilateral section of the main trunk of vagus nerve at cervical level in a patient with an oropharyngeal carcinoma with bilateral neck nodes. As a consequence of the bilateral resection of both vagus nerves during neck dissections, as well as motor and sensitive damage of the larynx and pharynx, we could observe affection of the normal tone of the oesophagus, stomach and duodenum which forced to enteral nutrition by direct jejunal access, and a disorder of the cardiac rhythm due to loss of the parasympathetic innervation appeared.

Key words:
Paralysis of the vagus nerve
Neck dissection
Complications

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