Sublabial transsphenoidal surgical removal of pituitary tumors is a common procedure with minimal complications. Although many investigators have reported oral sensory compromises following surgery, none has reported any postoperative compromise in speaking ability. In this article, we describe the case of a 33-year-old woman who developed transient but severe speech symptoms after she underwent sublabial transsphenoidal surgery. This case prompted us to undertake a brief retrospective analysis of our experience with this procedure in other patients, which revealed that speech compromise is far more common than heretofore realized.
References
1.
TuckerHM, HahnJF. Transnasal, transeptal sphenoidal approach to hypophysectomy. Laryngoscope1982;92:55–7.
2.
AritaK, UozumiT, YanoT, [Oral complication of sublabial transsphenoidal approach and advantage of endonasal transsphenoidal approach.]No Shinkei Geka1994;22:119–24.
3.
SchoemSR, KhanA, WilsonWR, LawsER. Minimizing upper lip and incisor teeth paresthesias in approaches to transsphenoidal surgery. Otolaryngol Head Neck Surg1997;116:656–61.
4.
BordenGJ, HarrisKS, OliverW.Oral Feedback I: Variability of the effects of nerve-block anesthesia upon speech. Journal of Phonetics1973;1:289–95.
5.
BordenGJ. An interpretation of research of feedback interruption in speech. Brain Lang1979;7:307–19.
6.
KawamuraY.A role of oral afferent for mandibulary and lingual movements. In: BosmaJF, ed. Second Symposium on Oral Sensation and Perception. Springfield, Ill.: Thomas, 1970:170–95.
