Horner's syndrome after neck surgery

Acta Otorrinolaringol Esp. 2012 Jul-Aug;63(4):299-302. doi: 10.1016/j.otorri.2012.01.015. Epub 2012 Apr 11.
[Article in English, Spanish]

Abstract

Horner's syndrome (oculosympathetic paresis) is characterised by the classic triad of ipsilateral palpebral ptosis, pupillary miosis and facial anhidrosis. The syndrome arises from the interruption of sympathetic innervation to the eye and adnexa at varying levels. It is a rare complication of neck surgery.We describe 6 patients who presented with Horner's syndrome after a neck procedure in our department during the last 5 years and review the different neck procedures that can cause it.

MeSH terms

  • Adult
  • Aged
  • Carcinoma, Papillary / surgery
  • Carcinoma, Squamous Cell / surgery
  • Female
  • Ganglioneuroma / surgery
  • Head and Neck Neoplasms / surgery
  • Horner Syndrome / etiology*
  • Horner Syndrome / physiopathology
  • Humans
  • Hypopharyngeal Neoplasms / surgery
  • Male
  • Middle Aged
  • Neck / surgery*
  • Neurilemmoma / surgery
  • Otorhinolaryngologic Surgical Procedures*
  • Postoperative Complications / etiology*
  • Postoperative Complications / physiopathology
  • Retropharyngeal Abscess / surgery
  • Retrospective Studies
  • Sympathetic Fibers, Postganglionic / injuries
  • Thyroid Neoplasms / surgery