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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

The surgical kit consisted of two needle holders (A), a tongue holder (B), scissors (C), piercing rod and two balls (D), and the BD Venflon™ Pro IV Canula 14 Gauge (= 2.0 mm) (E).
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Figure 2: The surgical kit consisted of two needle holders (A), a tongue holder (B), scissors (C), piercing rod and two balls (D), and the BD Venflon™ Pro IV Canula 14 Gauge (= 2.0 mm) (E).

Mentions: The current study chose a barbell piercing consisting of two metal balls and a rod (“nuts” and “bolt”). The parts were made from a medical grade Titanium alloy containing 6% Aluminum and 4% Vanadium (Ti6Al4V), which is a common and biocompatible alloy for dental implants[23]. The rod had a diameter of 1.6 mm, the lengths varied between 16 and 22 mm, and the diameter of the balls was 6.0 mm (Figure 2 items D). The piercing rods and balls were delivered from Star Piercing Company in Sweden together with documentation of the metal composition.


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)

The surgical kit consisted of two needle holders (A), a tongue holder (B), scissors (C), piercing rod and two balls (D), and the BD Venflon™ Pro IV Canula 14 Gauge (= 2.0 mm) (E).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: The surgical kit consisted of two needle holders (A), a tongue holder (B), scissors (C), piercing rod and two balls (D), and the BD Venflon™ Pro IV Canula 14 Gauge (= 2.0 mm) (E).
Mentions: The current study chose a barbell piercing consisting of two metal balls and a rod (“nuts” and “bolt”). The parts were made from a medical grade Titanium alloy containing 6% Aluminum and 4% Vanadium (Ti6Al4V), which is a common and biocompatible alloy for dental implants[23]. The rod had a diameter of 1.6 mm, the lengths varied between 16 and 22 mm, and the diameter of the balls was 6.0 mm (Figure 2 items D). The piercing rods and balls were delivered from Star Piercing Company in Sweden together with documentation of the metal composition.

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