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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
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Difficult intubation group | An intubation is called difficult if a normally trained anesthesiologist needs more than 3 attempts or more than 10 min for a successful endotracheal intubation. |
| |
| Non difficult intubation group | An intubation is called non difficult if a normally trained anesthesiologist needs only one attempt for a successful endotracheal intubation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational | Other | No intervention |
|
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of lingual nerve injury | The frequency of lingual nerve injury in patients with difficult intubation seen in one year period will be determined. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of emergency tracheotomy | 1 year | |
| Incidence of cardiovascular complications | 1 year | |
| Percentage of patients with teeth injuries |
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Inclusion Criteria:
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.
Exclusion Criteria:
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All adult patients undergo general anesthesia who have difficulty in intubation will be included in the study.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul MU Goztepe Training and Research Hospital | Istanbul | 34730 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D061222 | Lingual Nerve Injuries |
| ID | Term |
|---|---|
| D061221 | Trigeminal Nerve Injuries |
| D020433 | Trigeminal Nerve Diseases |
| D005156 | Facial Neuralgia |
| D005155 | Facial Nerve Diseases |
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| ID | Term |
|---|---|
| D057832 | Watchful Waiting |
| ID | Term |
|---|---|
| D017063 | Outcome Assessment, Health Care |
| D010043 | Outcome and Process Assessment, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
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| 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 |
| Percentage of patients with metallic taste in the tongue | 1 year |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D020209 | Cranial Nerve Injuries |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |