{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T22:58:42Z","timestamp":1774911522396,"version":"3.50.1"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The placement of chest tubes in B\u00fclau position is an established method for treating pneumothorax resulting from thoracic trauma. While complications involving nerve structures are rare, they can be clinically relevant. This case report describes a complication not previously mentioned in the literature: recurrent laryngeal nerve palsy caused by the position of the tube tip near the recurrent laryngeal nerve at the upper lung apex.<\/jats:p>\n                  <jats:p>A 47-year-old patient with right-sided traumatic pneumothorax and rib fractures developed progressive hoarseness following initial chest tube placement. Clinical examination revealed recurrent laryngeal nerve palsy. CT imaging showed the tube tip located at the junction of the lung apex and mediastinum in close proximity to the recurrent laryngeal nerve, which was considered the likely cause.<\/jats:p>\n                  <jats:p>After partial retraction of the chest tube, administration of systemic prednisolone, and initiation of speech therapy, the patient showed rapid clinical improvement. Following the full resolution of the pneumothorax, the patient was discharged. At follow-up, the recurrent laryngeal nerve palsy had completely resolved.<\/jats:p>\n                  <jats:p>This case emphasizes the importance of precise chest tube positioning, particularly in the region of the lung apex and mediastinum, to prevent rare neurological complications such as recurrent laryngeal nerve palsy. In the event of new neurological symptoms, immediate radiological assessment is essential to identify potential complications and initiate appropriate measures.<\/jats:p>","DOI":"10.1055\/a-2678-2727","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T23:09:26Z","timestamp":1756768166000},"page":"169-172","source":"Crossref","is-referenced-by-count":0,"title":["Rare Complication of Chest Tube Placement: Recurrent Laryngeal Nerve Palsy"],"prefix":"10.1055","volume":"164","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3397-1295","authenticated-orcid":false,"given":"Anna-Maria","family":"Mielke","sequence":"additional","affiliation":[{"name":"Centrum f\u00fcr Muskuloskeletale Chirurgie, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Berlin, Deutschland"},{"name":"Arbeitsgemeinschaft for Teaching (AG Lehre), German Society for Orthopaedics and Trauma Surgery (DGOU), Berlin, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vera","family":"Jaecker","sequence":"additional","affiliation":[{"name":"Centrum f\u00fcr Muskuloskeletale Chirurgie, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Berlin, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"St\u00f6ckle","sequence":"additional","affiliation":[{"name":"Centrum f\u00fcr Muskuloskeletale Chirurgie, Charit\u00e9 - Universit\u00e4tsmedizin Berlin, Berlin, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1497","DOI":"10.1016\/S0003-4975(97)00082-9","article-title":"Thoracic drainage","volume":"63","author":"ER Munnell","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1001\/JAMASURG.2021.7050","article-title":"Comprehensive Review of Chest Tube Management: A Review","volume":"157","author":"D Anderson","year":"2022","journal-title":"JAMA Surg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1055\/A-1975-0243","article-title":"[Chest Tube in Thoracic Trauma \u2013 Recommendations of the Interdisciplinary Thoracic Trauma Task Group of the German Society for Thoracic Surgery (DGT) and the German Trauma Society (DGU)]","volume":"148","author":"L Becker","year":"2023","journal-title":"Zentralbl Chir"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.ijcard.2003.10.060","article-title":"Diaphragmatic paralysis caused by malposition of chest tube placement after pediatric cardiac surgery","volume":"99","author":"MS Hwang","year":"2005","journal-title":"Int J Cardiol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1136\/EMJ.12.2.156","article-title":"Winging of the scapula: an unusual complication of chest tube placement","volume":"12","author":"WU Hassan","year":"1995","journal-title":"J Accid Emerg Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.1016\/J.EJCTS.2003.09.014","article-title":"Horner\u2019s syndrome as a complication in thoracic surgical practice","volume":"24","author":"SO Kaya","year":"2003","journal-title":"Eur J Cardiothorac Surg"},{"key":"ref7","series-title":"StatPearls","volume-title":"Lung Pancoast Tumor","author":"SG Gundepalli","year":"2023"},{"key":"ref8","series-title":"UpToDate","volume-title":"Superior pulmonary sulcus (Pancoast) tumors","author":"SM Arcasoy","year":"2023"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"329","DOI":"10.3238\/ARZTEBL.2015.0329","article-title":"Heiserkeit \u2013 Ursachen und Therapie","volume":"112","author":"R Reiter","year":"2015","journal-title":"Dtsch Arztebl Int"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2678-2727.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T22:33:41Z","timestamp":1774910021000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2678-2727"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":9,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,3,30]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2678-2727","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,1]]}}}