Oropharyngeal Complications Of Suspension Laryngoscopy: A Prospective Study
Identifieur interne : 007C36 ( Istex/Corpus ); précédent : 007C35; suivant : 007C37Oropharyngeal Complications Of Suspension Laryngoscopy: A Prospective Study
Auteurs : Clark A. Rosen ; Pedro A. Andrade Filho ; Lucia Scheffel ; Robert BuckmireSource :
- The Laryngoscope [ 0023-852X ] ; 2005-09.
English descriptors
- KwdEn :
- Anesthetic evaluation, Average duration, Complication, Complication rate, Dental guards, Dental injuries, Direct laryngoscopy, Gallows, Higher rate, Laryngoscope, Laryngoscopy, Little information, Major complications, Malignant disease, Maxillary teeth, Neck flexion, Oropharyngeal, Oropharyngeal complications, Oropharyngeal symptoms, Other endolaryngeal procedures, Otol rhinol laryngol, Otolaryngologic clinics, Phonomicrosurgery, Pittsburgh school, Pittsburgh voice center, Postoperative, Risk factor, Risk factors, Rosen, Saunders company, Study cohort, Study group, Surgical procedure, Suspension, Suspension laryngoscopy, Suspension microlaryngoscopy, Tongue mobility, Voice disorders.
- Teeft :
- Anesthetic evaluation, Average duration, Complication, Complication rate, Dental guards, Dental injuries, Direct laryngoscopy, Gallows, Higher rate, Laryngoscope, Laryngoscopy, Little information, Major complications, Malignant disease, Maxillary teeth, Neck flexion, Oropharyngeal, Oropharyngeal complications, Oropharyngeal symptoms, Other endolaryngeal procedures, Otol rhinol laryngol, Otolaryngologic clinics, Phonomicrosurgery, Pittsburgh school, Pittsburgh voice center, Postoperative, Risk factor, Risk factors, Rosen, Saunders company, Study cohort, Study group, Surgical procedure, Suspension, Suspension laryngoscopy, Suspension microlaryngoscopy, Tongue mobility, Voice disorders.
Abstract
Objective: This study was designed to evaluate the oropharyngeal complications of suspension laryngoscopy (SL).
Url:
DOI: 10.1097/01.MLG.0000175538.89627.0D
Links to Exploration step
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<affiliation><mods:affiliation>Correspondence address: Dr. Clark A. Rosen, Director, University of Pittsburgh Voice Center, Associate Professor, Department of Otolaryngology, University of Pittsburgh School of Medicine, 200 Lothrop Street, Suite 500 EEI, Pittsburgh, PA 15213, U.S.A.</mods:affiliation>
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Objective:</hi>
This study was designed to evaluate the oropharyngeal complications of suspension laryngoscopy (SL).</p>
<p><hi rend="bold">Methods:</hi>
We prospectively analyzed 56 consecutive SLs for intervention‐related complications. Oropharyngeal symptoms and physical examination abnormalities were recorded before and after SL. SL‐related problems were graded in severity and followed over time (weekly) until resolution was achieved. All patients had SL with either a gallows suspension or a manual technique and not a rotation‐oriented (fulcrum) laryngoscope holding device.</p>
<p><hi rend="bold">Results:</hi>
Oropharyngeal minor complications after SL occurred at a rate of 37.5%, and all these were temporary. No dental injuries occurred in the study cohort. There were no major complications after SL. Minor alterations related to taste occurred in 18% of the patients, 16% of patients had subjective swallowing complaints, and 12.5% had partial tongue numbness. Average duration of the post‐SL complaints was 11 (6–34) days. A correlation between duration of suspension, size of laryngoscope, and risk of developing a minor oropharyngeal complication was present.</p>
<p><hi rend="bold">Conclusion:</hi>
SL carries a higher risk for lingual and glossopharyngeal nerve injuries than previously recognized. All of these complications were temporary. On the basis of comparison with historic data, SL by gallows suspension technique may pose a lower risk of dental injuries. This information should be used to improve preoperative SL patient education and informed consent.</p>
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<titleGroup><title type="main" xml:lang="en" sort="LARYNGOSCOPE">The Laryngoscope</title>
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<coverDate startDate="2005-09">September 2005</coverDate>
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<copyright ownership="thirdParty">Copyright © 2005 The Triological Society</copyright>
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<correspondenceTo>Dr. Clark A. Rosen, Director, University of Pittsburgh Voice Center, Associate Professor, Department of Otolaryngology, University of Pittsburgh School of Medicine, 200 Lothrop Street, Suite 500 EEI, Pittsburgh, PA 15213, U.S.A.</correspondenceTo>
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<titleGroup><title type="main" xml:lang="en">Oropharyngeal Complications Of Suspension Laryngoscopy: A Prospective Study<link href="#fn1"></link>
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<title type="short" xml:lang="en">Oropharyngeal Complications Of Suspension Laryngoscopy: A Prospective Study</title>
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<creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Clark A.</givenNames>
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<creator xml:id="au2" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Pedro A. Andrade</givenNames>
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<creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Lucia</givenNames>
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<p><b>Objective:</b>
This study was designed to evaluate the oropharyngeal complications of suspension laryngoscopy (SL).</p>
<p><b>Methods:</b>
We prospectively analyzed 56 consecutive SLs for intervention‐related complications. Oropharyngeal symptoms and physical examination abnormalities were recorded before and after SL. SL‐related problems were graded in severity and followed over time (weekly) until resolution was achieved. All patients had SL with either a gallows suspension or a manual technique and not a rotation‐oriented (fulcrum) laryngoscope holding device.</p>
<p><b>Results:</b>
Oropharyngeal minor complications after SL occurred at a rate of 37.5%, and all these were temporary. No dental injuries occurred in the study cohort. There were no major complications after SL. Minor alterations related to taste occurred in 18% of the patients, 16% of patients had subjective swallowing complaints, and 12.5% had partial tongue numbness. Average duration of the post‐SL complaints was 11 (6–34) days. A correlation between duration of suspension, size of laryngoscope, and risk of developing a minor oropharyngeal complication was present.</p>
<p><b>Conclusion:</b>
SL carries a higher risk for lingual and glossopharyngeal nerve injuries than previously recognized. All of these complications were temporary. On the basis of comparison with historic data, SL by gallows suspension technique may pose a lower risk of dental injuries. This information should be used to improve preoperative SL patient education and informed consent.</p>
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<noteGroup><note xml:id="fn1"><p>Presented at the Annual Meeting of American Broncho‐Esophageal Association Society, Phoenix, Arizona, May 1, 2004.</p>
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<affiliation>University of Pittsburgh Voice Center, University of Pittsburgh School of Medicine. Pittsburgh, Pennsylvania, U.S.A.</affiliation>
<affiliation>E-mail: rosenca@upmc.edu</affiliation>
<affiliation>Correspondence address: Dr. Clark A. Rosen, Director, University of Pittsburgh Voice Center, Associate Professor, Department of Otolaryngology, University of Pittsburgh School of Medicine, 200 Lothrop Street, Suite 500 EEI, Pittsburgh, PA 15213, U.S.A.</affiliation>
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<name type="personal"><namePart type="given">Pedro A. Andrade</namePart>
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<name type="personal"><namePart type="given">Lucia</namePart>
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<abstract>Objective: This study was designed to evaluate the oropharyngeal complications of suspension laryngoscopy (SL).</abstract>
<abstract>Methods: We prospectively analyzed 56 consecutive SLs for intervention‐related complications. Oropharyngeal symptoms and physical examination abnormalities were recorded before and after SL. SL‐related problems were graded in severity and followed over time (weekly) until resolution was achieved. All patients had SL with either a gallows suspension or a manual technique and not a rotation‐oriented (fulcrum) laryngoscope holding device.</abstract>
<abstract>Results: Oropharyngeal minor complications after SL occurred at a rate of 37.5%, and all these were temporary. No dental injuries occurred in the study cohort. There were no major complications after SL. Minor alterations related to taste occurred in 18% of the patients, 16% of patients had subjective swallowing complaints, and 12.5% had partial tongue numbness. Average duration of the post‐SL complaints was 11 (6–34) days. A correlation between duration of suspension, size of laryngoscope, and risk of developing a minor oropharyngeal complication was present.</abstract>
<abstract>Conclusion: SL carries a higher risk for lingual and glossopharyngeal nerve injuries than previously recognized. All of these complications were temporary. On the basis of comparison with historic data, SL by gallows suspension technique may pose a lower risk of dental injuries. This information should be used to improve preoperative SL patient education and informed consent.</abstract>
<note type="content">*Presented at the Annual Meeting of American Broncho‐Esophageal Association Society, Phoenix, Arizona, May 1, 2004.</note>
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