Korean J Anesthesiol.  2009 Feb;56(2):208-210. 10.4097/kjae.2009.56.2.208.

Unilateral phrenic nerve block guided by ultrasonography and nerve stimulator for the treatment of hiccup developed after tongue cancer operation: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. kmshin1@yahoo.co.kr

Abstract

Hiccups are common benign and usually transient phenomenon that occur in nearly everyone. However, persistent or intractable hiccups can cause multiple problems including malnutrition, weight loss, fatigue, dehydration, insomnia, and wound dehiscence. We have experienced a case of postoperative persistent hiccup. The patient was formerly diagnosed tongue cancer and developed persistent hiccup after partial glossectomy with modified radical neck dissection and a radial forearm free-flap operation. He was unsuccessfully managed using pharmacologic methods, and then we tried phrenic nerve block guided by ultrasonography and a nerve stimulator because the surface anatomy of neck was deformed by the previous operation. Thirty minutes after the block, the hiccups disappeared.

Keyword

Hiccups; Nerve stimulator; Phrenic nerve block; Ultrasonography

MeSH Terms

Dehydration
Fatigue
Forearm
Glossectomy
Hiccup
Humans
Malnutrition
Neck
Neck Dissection
Phrenic Nerve
Sleep Initiation and Maintenance Disorders
Tongue
Tongue Neoplasms
Weight Loss
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