Investigation of the Incidence of Lingual Nerve Injury and Related Factors in Patients With Difficult Intubation
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- The incidence of lingual nerve injury
研究概览
简要总结
The aim of this study is to investigate the incidence of lingual nerve injury and related factors in difficult intubation cases.
Demographic data of difficult intubation cases and body mass indices, thyromental and sternomental distances, mallampati classification, neck circumference, maximum mouth opening be recorded.Numbness of the tongue and metallic taste will be questioned
详细描述
The lingual nerve is the anterior descending branch of the posterior trunk of the mandibular division of the trigeminal nerve.
Lingual nerve injury is a recognised complication of orotracheal intubation and has been associated with forceful laryngoscopy.
Although left-sided neuropraxia has been reported, right-sided lesions are thought to be more common because the standard Macintosh laryngoscope exerts pressure on the right side of the tongue.
Lingual nerve injury following orotracheal intubation was first described in 1971 by Teichner who reported a right-sided neuropraxia which was attributed to direct pressure from the laryngoscope.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All adult patients undergo general anesthesia who have difficulty in intubation will be included in the study. The same number of patients without intubation difficulties will be included in the study as a control group.
排除标准
- •Patients who are not intubated under general anesthesia
- •Patients undergoing regional anesthesia or peripheral nerve block
- •Patients with laryngeal mask placed will not be included in the study.
结局指标
主要结局
The incidence of lingual nerve injury
时间窗: 1 year
The frequency of lingual nerve injury in patients with difficult intubation seen in one year period will be determined.
次要结局
- Percentage of patients with metallic taste in the tongue(1 year)
- Rate of emergency tracheotomy(1 year)
- Incidence of cardiovascular complications(1 year)
- Percentage of patients with teeth injuries(1 year)
- Percentage of patients with oral mucosa injuries(1 year)
- Percentage of patients with temporary difficulty in swallowing(1 year)
- Percentage of patients with temporary difficulty in breathing(1 year)
- Incidence of inability to taste(1 year)
- Incidence of numbness in the tongue(1 year)
研究者
Zeynep Nur Orhon
Principal Investigator
Istanbul Medeniyet University