Tapias syndrome after cardiac surgery.

The ET tube cuff high up in the larynx compresses the RLN branches against the thyroid cartilage and stretches the hypoglossal nerve against the hyoid bone.[[1]] The high-cuff pressure also increases the risk for nerve injury. To the editor, Tapia's syndrome is a rare complication with injury to the hypoglossal (XIIth) and vagus (Xth) nerves resulting in a weak voice, increased predilection for aspiration, and difficulty in swallowing. Antonio Garcias Tapia first named this syndrome in a bullfighter with Xth and XIIth nerve palsy after sustaining carotid artery injury resulting in compromised neural blood supply. [Extracted from the article]