Tongue Depressor-related Tongue Swelling

Selcuk University

Status: Completed

Conditions: Adenoidal Hypertrophy; Complication; Adenoid Disease - Chronic; Side Effect; Children, Only

Treatments: Diagnostic Test: Ultrasonography imaging

Study type: Observational

Funder types: Other

Identifiers

NCT04256590

2018/18

Details and patient eligibility

About

This study aimed to detect tongue swelling induced by the pressure exerted by tongue depressor; swelling detection was made through tongue surface area measurement using ultrasonography (USG) in pediatric patients who underwent adenoidectomy surgeries.

Full description

The tongue is an ideal organ for ultrasonography (USG) evaluation. This study aimed to detect the occurrence of tongue swelling through USG examination and to educate clinicians about the association between subacute tongue swelling and tongue depressor in pediatric patients.

Enrollment: 67 patients

Sex: All

Ages: 2 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 16 years or younger
• Undergo adenoidectomy surgery
• Patients informed consent obtained from the parents

Inclusion Criteria for control group:

• Patients aged 16 years or younger
• Patients who did not need adenoidectomy surgery and any head and neck procedures
• Patients who underwent endotracheal intubation under general anesthesia except adenoidectomy and head and neck surgery.

Exclusion criteria

• Patients aged older than 16 years
• Patients with a history of syndromal craniofacial abnormalities
• Patients with systemic disorders and other otolaryngologic problems

Trial design

67 participants in 2 patient groups

Study

Description:

Patients aged 16 years or younger who were to undergo adenoidectomy surgery were eligible for inclusion in this group. Tongue surface areas were measured twice by submental USG.The first measurements (TSA2) were done immediately after endotracheal intubation but before insertion and placement of the tongue depressor. The second measurements (TSA1) were done after adenoidectomy surgery and after removal of the tongue depressor but just before extubation. The difference between TSA2 and TSA1 (i.e., (TSA2-TSA1) was used to defined the occurrence of tongue swelling.

Treatment:

Diagnostic Test: Ultrasonography imaging

Control

Description:

This group included patients aged 16 years or younger who did not need adenoidectomy surgery and any head and neck procedures. Tongue surface areas of the patients were measured twice by submental USG as in the study group. TSA1s were done immediately after endotracheal intubation, and TSA2s were done at the end of the surgical procedure just before extubation. The difference between TSA2 and TSA1 (i.e., (TSA2-TSA1) was used to defined the occurrence of tongue edema.

Treatment:

Diagnostic Test: Ultrasonography imaging