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Case Report
Available online 1 March 2022
Isolated axillary nerve palsy after liposuction, an exceptional complication
Parálisis aislada del nervio axilar tras liposucción, una complicación excepcional
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Pablo Martínez Núñeza,
Corresponding author
pablomartineznunez@hotmail.com

Corresponding author.
, Mónica Pérez Gonzálezb, Ángel Juárez Corderoa
a Servicio de Cirugía Plástica, Estética y Reparadora, Hospital Universitario La Zarzuela, Madrid, Comunidad de Madrid, Spain
b Servicio de Radiodiagnóstico, Hospital Universitario Infanta Cristina, Parla, Comunidad de Madrid, Spain
Received 10 March 2021. Accepted 28 April 2021
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Abstract

Isolated injury to the axillary nerve associated with the patient’s surgical position is a very rare complication, and in most cases it is associated with the prone during spinal surgery. The presentation of this pathology in relation to surgeries of another nature is exceptional, with only a few cases in the scientific literature.

We present the case of a patient who developed symptoms of isolated left axillary nerve palsy after undergoing lipoabdominoplasty and breast reduction, in which the prone and supine positions were alternated. The use of an infiltration solution with lidocaine and epinephrine could have contributed to the appearance of the lesion in this unique case. Finally, the clinical picture was fully resolved thanks to conservative treatment.

Keywords:
Peripheral nerve
Liposuction
Local anesthetic
Axillary nerve
Palsy
Resumen

La lesión aislada del nervio axilar asociada a la posición quirúrgica del paciente es una complicación muy poco frecuente, y en la mayoría de los casos está asociada al prono durante una cirugía de columna. La presentación de esta patología en relación con cirugías de otra índole es excepcional, solo existiendo unos pocos casos en la literatura científica.

Presentamos el caso de una paciente que desarrolló clínica de parálisis aislada del nervio axilar izquierdo tras someterse a una lipoabdominoplastia y reducción mamaria, en la que se alternaron la posición en prono y en supino. La utilización de una solución de infiltración con lidocaína y adrenalina pudo contribuir a la aparición de la lesión en este caso único. Finalmente, el cuadro clínico se resolvió en su totalidad gracias al tratamiento conservador.

Palabras clave:
Nervio periférico
Liposucción
Anestésico local
Nervio axilar
Parálisis

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