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Medical tongue piercing - development and evaluation of a surgical protocol and the perception of procedural discomfort of the participants.

Bentsen B, Gaihede M, Lontis R, Andreasen Struijk LN - J Neuroeng Rehabil (2014)

Bottom Line: The piercings were all successfully inserted in less than 5 min and the pain level was moderate compared with oral injections.The procedure proved simple, fast, and safe for insertion of tongue piercings for tetraplegic subjects in a clinical setting.No serious complications were encountered, and the procedure was found tolerable to the participants.

View Article: PubMed Central - HTML - PubMed

Affiliation: Center for Sensory Motor Interaction, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, DK-9220 Aalborg, Denmark. lontis@hst.aau.dk.

ABSTRACT

Background: A system providing disabled persons with control of various assistive devices with the tongue has been developed at Aalborg University in Denmark. The system requires an activation unit attached to the tongue with a small piercing. The aim of this study was to establish and evaluate a safe and tolerable procedure for medical tongue piercing and to evaluate the expected and perceived procedural discomfort.

Methods: Four tetraplegic subjects volunteered for the study. A surgical protocol for a safe insertion of a tongue barbell piercing was presented using sterilized instruments and piercing parts. Moreover, post-procedural observations of participant complications such as bleeding, edema, and infection were recorded. Finally, procedural discomforts were monitored by VAS scores of pain, changes in taste and speech as well as problems related to hitting the teeth.

Results: The piercings were all successfully inserted in less than 5 min and the pain level was moderate compared with oral injections. No bleeding, infection, embedding of the piercing, or tooth/gingival injuries were encountered; a moderate edema was found in one case without affecting the speech. In two cases the piercing rod later had to be replaced by a shorter rod, because participants complained that the rod hit their teeth. The replacements prevented further problems. Moreover, loosening of balls was encountered, which could be prevented with the addition of dental glue. No cases of swallowing or aspiration of the piercing parts were recorded.

Conclusions: The procedure proved simple, fast, and safe for insertion of tongue piercings for tetraplegic subjects in a clinical setting. The procedure represented several precautions in order to avoid risks in these susceptible participants with possible co-morbidity. No serious complications were encountered, and the procedure was found tolerable to the participants. The procedure may be used in future studies with tongue piercings being a prerequisite for similar systems, and this may include insertion in an out-patient setting.

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Related in: MedlinePlus

Inductive tongue control system (modified from [[12]] with permission, © 2006 IEEE): (A) Placement of sensors (c), dental brace (b) and activation unit (a), (B) Activation unit attached to the tongue as the upper ball of a piercing, (C) Principle of activation for inductive sensors; perturbation of the magnetic field of the sensor by the activation unit induces an activation signal back into the sensor, and (D) The upper jaw dental brace placed on a plaster model.
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Figure 1: Inductive tongue control system (modified from [[12]] with permission, © 2006 IEEE): (A) Placement of sensors (c), dental brace (b) and activation unit (a), (B) Activation unit attached to the tongue as the upper ball of a piercing, (C) Principle of activation for inductive sensors; perturbation of the magnetic field of the sensor by the activation unit induces an activation signal back into the sensor, and (D) The upper jaw dental brace placed on a plaster model.

Mentions: A new tongue control system has been developed at Aalborg University in Denmark. This assistive device gives individuals with severe sensory-motor impairment and lost function of the limbs a possibility to directly type text or to proportionally control a pointing device in order to control, e.g., electrical wheelchairs or personal computers with the tip of the tongue[12-19]. This system consists of a dental brace in the upper jaw encapsulating two pads of inductive sensors, a rechargeable battery and electronics. The inductive sensors are activated by changing their inductance using an activation unit consisting of a small cylindrical piece of soft ferromagnetic metal. This activation unit is attached to the tongue as the upper ball of a piercing (Figure 1), and it activates a given sensor in the sensor pad whenever it is positioned by the tongue at a specific sensor.


Medical tongue piercing - development and evaluation of a surgical protocol and the perception of procedural discomfort of the participants.

Bentsen B, Gaihede M, Lontis R, Andreasen Struijk LN - J Neuroeng Rehabil (2014)

Inductive tongue control system (modified from [[12]] with permission, © 2006 IEEE): (A) Placement of sensors (c), dental brace (b) and activation unit (a), (B) Activation unit attached to the tongue as the upper ball of a piercing, (C) Principle of activation for inductive sensors; perturbation of the magnetic field of the sensor by the activation unit induces an activation signal back into the sensor, and (D) The upper jaw dental brace placed on a plaster model.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230317&req=5

Figure 1: Inductive tongue control system (modified from [[12]] with permission, © 2006 IEEE): (A) Placement of sensors (c), dental brace (b) and activation unit (a), (B) Activation unit attached to the tongue as the upper ball of a piercing, (C) Principle of activation for inductive sensors; perturbation of the magnetic field of the sensor by the activation unit induces an activation signal back into the sensor, and (D) The upper jaw dental brace placed on a plaster model.
Mentions: A new tongue control system has been developed at Aalborg University in Denmark. This assistive device gives individuals with severe sensory-motor impairment and lost function of the limbs a possibility to directly type text or to proportionally control a pointing device in order to control, e.g., electrical wheelchairs or personal computers with the tip of the tongue[12-19]. This system consists of a dental brace in the upper jaw encapsulating two pads of inductive sensors, a rechargeable battery and electronics. The inductive sensors are activated by changing their inductance using an activation unit consisting of a small cylindrical piece of soft ferromagnetic metal. This activation unit is attached to the tongue as the upper ball of a piercing (Figure 1), and it activates a given sensor in the sensor pad whenever it is positioned by the tongue at a specific sensor.

Bottom Line: The piercings were all successfully inserted in less than 5 min and the pain level was moderate compared with oral injections.The procedure proved simple, fast, and safe for insertion of tongue piercings for tetraplegic subjects in a clinical setting.No serious complications were encountered, and the procedure was found tolerable to the participants.

View Article: PubMed Central - HTML - PubMed

Affiliation: Center for Sensory Motor Interaction, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, DK-9220 Aalborg, Denmark. lontis@hst.aau.dk.

ABSTRACT

Background: A system providing disabled persons with control of various assistive devices with the tongue has been developed at Aalborg University in Denmark. The system requires an activation unit attached to the tongue with a small piercing. The aim of this study was to establish and evaluate a safe and tolerable procedure for medical tongue piercing and to evaluate the expected and perceived procedural discomfort.

Methods: Four tetraplegic subjects volunteered for the study. A surgical protocol for a safe insertion of a tongue barbell piercing was presented using sterilized instruments and piercing parts. Moreover, post-procedural observations of participant complications such as bleeding, edema, and infection were recorded. Finally, procedural discomforts were monitored by VAS scores of pain, changes in taste and speech as well as problems related to hitting the teeth.

Results: The piercings were all successfully inserted in less than 5 min and the pain level was moderate compared with oral injections. No bleeding, infection, embedding of the piercing, or tooth/gingival injuries were encountered; a moderate edema was found in one case without affecting the speech. In two cases the piercing rod later had to be replaced by a shorter rod, because participants complained that the rod hit their teeth. The replacements prevented further problems. Moreover, loosening of balls was encountered, which could be prevented with the addition of dental glue. No cases of swallowing or aspiration of the piercing parts were recorded.

Conclusions: The procedure proved simple, fast, and safe for insertion of tongue piercings for tetraplegic subjects in a clinical setting. The procedure represented several precautions in order to avoid risks in these susceptible participants with possible co-morbidity. No serious complications were encountered, and the procedure was found tolerable to the participants. The procedure may be used in future studies with tongue piercings being a prerequisite for similar systems, and this may include insertion in an out-patient setting.

Show MeSH
Related in: MedlinePlus