Vocal cord paralysis as a consequence of peritonsillar infiltration with bupivacaine

N. Weksler, M. Nash, V. Rozentsveig, J. A. Schwartz, M. Schily, G. M. Gurman

Research output: Contribution to journalArticlepeer-review

37 Scopus citations


Reduction of postoperative pain is an important goal in the perioperative management of tonsillectomy patients. This is particularly the case for children, who often exhibit resistance to intramuscular or rectal administration of drugs. Peritonsillar bupivacaine infiltration, a relatively safe method of pain control, is in some centers frequently used by otolaryngologists for pain relief. We present the case of a 5-year-old girl who developed bilateral vocal cord paralysis following preoperative peritonsillar bupivacaine infiltration. After an uneventful tonsillectomy and extubation, stridor and respiratory distress developed. Bilateral vocal cord paralysis was seen on laryngoscopy. The patient was reintubated and five hours later was successfully extubated without further sequelae. Anesthesiologists and surgeons should be aware of this uncommon complication than can occur with the use of peritonsillar bupivacaine infiltration for pain control in tonsil surgery.

Original languageEnglish
Pages (from-to)1042-1044
Number of pages3
JournalActa Anaesthesiologica Scandinavica
Issue number8
StatePublished - 10 Oct 2001
Externally publishedYes


  • Bupivacaine
  • Peritonsillar infiltration
  • Tonsillectomy
  • Vocal cord paralysis

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


Dive into the research topics of 'Vocal cord paralysis as a consequence of peritonsillar infiltration with bupivacaine'. Together they form a unique fingerprint.

Cite this