Limits...
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.

Show MeSH

Related in: MedlinePlus

Subject 3 (♀, age 49; tetraplegia after severe early childhood meningitis): Perception of pain, taste, speech, and problems with hitting the teeth with the piercing seen over a 10-day period after the first day of surgery (day 0) (10 cm VAS scale).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4230317&req=5

Figure 8: Subject 3 (♀, age 49; tetraplegia after severe early childhood meningitis): Perception of pain, taste, speech, and problems with hitting the teeth with the piercing seen over a 10-day period after the first day of surgery (day 0) (10 cm VAS scale).

Mentions: The individual results from the four participants during the healing period have been displayed in Figures 6,7,8, and9. In general, the results showed that after the 5th day the problems with pain, sense of taste and speech had almost disappeared. Further, the problems with hitting the teeth with the balls had also diminished. However, in one case with higher complaints of hitting the teeth, the piercing had to be changed at day 5, which resulted in increased pain level during the next two days (Figure 6); in another case the same complaints remained at a relatively high level during the 10 day period (Figure 9). There were no additional complaints reported by the participants during the course of the piercing.


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)

Subject 3 (♀, age 49; tetraplegia after severe early childhood meningitis): Perception of pain, taste, speech, and problems with hitting the teeth with the piercing seen over a 10-day period after the first day of surgery (day 0) (10 cm VAS scale).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 8: Subject 3 (♀, age 49; tetraplegia after severe early childhood meningitis): Perception of pain, taste, speech, and problems with hitting the teeth with the piercing seen over a 10-day period after the first day of surgery (day 0) (10 cm VAS scale).
Mentions: The individual results from the four participants during the healing period have been displayed in Figures 6,7,8, and9. In general, the results showed that after the 5th day the problems with pain, sense of taste and speech had almost disappeared. Further, the problems with hitting the teeth with the balls had also diminished. However, in one case with higher complaints of hitting the teeth, the piercing had to be changed at day 5, which resulted in increased pain level during the next two days (Figure 6); in another case the same complaints remained at a relatively high level during the 10 day period (Figure 9). There were no additional complaints reported by the participants during the course of the piercing.

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