Prevalence of Tapia's Syndrome in Weaning Unit

The main aim of this study was to determine the prevalence of Tapia syndrome in patients admitted to weaning unit after prolonged (>48h) orotracheal intubation in the ICU.

The secondary objectives are to:

• Describe the clinical semiology of Tapia syndrome : lingual involvement, soft palate involvement, impairment of phonation and swallowing ;
• Describe the paraclinical features of Tapia syndrome: recurrent involvement, laryngeal and lingual involvement;
• Identify factors associated with Tapia's syndrome

Inclusion criteria

• Hospitalized in weaning unit
• Duration of orotracheal intubation in the ICU greater than 48 hours;
• Glasgow score greater than or equal to 13 ;
• Patient at least 18 years of age at the time of inclusion;
• Affiliation with a social security system or beneficiary of such a system ;
• Oral, free, informed and express consent of the patient.

Exclusion criteria

• Known history of ENT or neurological pathologies (stroke, head trauma, neurodegenerative disease, brain tumor, ENT cancer);
• Known tumors in the vicinity of the X-nerve pathway;
• Ortner's syndrome (left recurrent nerve compression through the left atrium in mitral stenosis);
• Left lung cancer with subaortic lesion;
• History of cervical adenopathy compressing the X nerve;
• Presence of a cervical or cerebral abscess;
• 24-hour ventilated patient;
• Refusal of the patient or designated trusted person to participate in the study;
• Person subject to a safeguard of justice measure ;