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CompletedNCT04205253Updated Dec 19, 2019

Tongue Depressor-related Ischemia-Reperfusion Injury in Tongue

An observational study in Side Effect, Ischemia Reperfusion Injury and Edema, sponsored by Selcuk University. Completed at 2 sites in Turkey (Türkiye). Open to participants aged 20 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-12-19.

Sponsored by Selcuk University · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
64
Ages
20 Years to 65 Years
Sex
All
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Study summary

This study aimed to detect tongue edema associated with the pressure exerted by a rigid direct laryngoscope by measuring the tongue area using USG in patients undergoing suspension laryngoscopy (SL) procedures.

Read the detailed description

Suspension laryngoscopy (SL) is a surgical procedure for both diagnostic and therapeutic purposes. In this procedure, a rigid direct laryngoscope is inserted orally, and the tongue and the base of the tongue are compressed.The tongue is an ideal organ for evaluation with ultrasonography. This study aimed to detect the occurrence of tongue edema through ultrasonography examination due to the rigid direct laryngoscope in SL procedures.

02

Conditions studied

  • Side Effect
  • Ischemia Reperfusion Injury
  • Edema
  • Tongue Enlarged

Keywords

  • tongue
  • ischemia-reperfusion injury
  • side effect
  • edema
  • suspension laryngoscopy
03

In context

Reperfusion Injury

278 studies on the registry are indexed under Reperfusion Injury; 41 are open to participants now.

This study's enrollment of 64 is below the median of 100 across 46 observational studies indexed under Reperfusion Injury.

Browse Reperfusion Injury studies →

Lead sponsor

Selcuk University is the lead sponsor of 255 studies on the registry; 66 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients aged 20 years or older who will undergo suspension laryngoscopy procedures or who did not need suspension larygoscopy procedures.

Eligibility criteria

Study group

Inclusion Criteria:

  • Patients aged 20 years or older
  • Patients who undergo suspension laryngoscope procedure

Exclusion Criteria:

  • refusal to participate
  • age of \<20 years
  • history of syndromal craniofacial abnormalities
  • occurrence of tongue masses
  • history of craniofacial surgery
  • history of burns, trauma or radiotherapy involving the head and neck region
  • neurologic disorders and patients with obstructive sleep apnea syndrome (OSAS)
  • active inflammation in the head and neck region
  • cervical rigidity limiting neck flexion and head extension

Control group

Inclusion Criteria:

Patients aged 20 years or older Patients who did not need suspension laryngoscopy and any head and neck procedures

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
64 participants (actual)
Patient registry
No

Groups and cohorts

  • Study

    The first group is the study group. Patients aged 20 years or older and were to undergo suspension laryngoscopy procedure were eligible for inclusion in this group. Tongue areas were measured twice by submental USG. The first measurements (TA1) were done immediately after endotracheal intubation before introducing the rigid direct laryngoscope, whereas the second measurements (TA2) were done after the SL procedure and after removing the rigid direct laryngoscope just before extubation.The difference between TA2 and TA1 (i.e., TA2-TA1) were used to define the occurrence of tongue edema as study group.

    Diagnostic Test: Ultrasonography imaging

  • Control

    The second group was the control group, which included patients who did not need SL and any head and neck procedures.The tongue areas of these patients were measured twice by submental USG as in the study group. The TA1 measurements were done immediately after endotracheal intubation, whereas the TA2 measurements were done at the end of the surgical procedure just before extubation. The difference between TA2 and TA1 (i.e., TA2-TA1) were used to define the occurrence of tongue edema as study group.

    Diagnostic Test: Ultrasonography imaging

Interventions

  • Diagnostic testUltrasonography imaging

    This study aimed to evaluate the tongue areas and compare the tongue areas before the implementation of rigid direct laryngoscope and after the rigid direct laryngoscope.

06

What researchers measure

Primary outcomes

  1. Rate of change in tongue area.

    This study aimed to measure the change in tongue areas before and after the implementation of rigid direct laryngoscope by using ultrasonography imaging.

    Time frame: 2018-2019 (6 months)

Secondary outcomes

  1. Rate of formation in tongue edema.

    This study aimed to measure the formation of tongue edema due to the rigid direct laryngoscope by using ultrasonography imaging.

    Time frame: 2018 (6 months)

07

Study locations

2 sites
  • Selcen Celik
    Konya, Selcuklu 42100, Turkey (Türkiye)
  • Selcuk University
    Konya, Selcuklu 42100, Turkey (Türkiye)
08

References and documents

Publications

  • Onal M, Colpan B, Elsurer C, Bozkurt MK, Onal O, Turan A. Is it possible that direct rigid laryngoscope-related ischemia-reperfusion injury occurs in the tongue during suspension laryngoscopy as detected by ultrasonography: a prospective controlled study. Acta Otolaryngol. 2020 Jul;140(7):583-588. doi: 10.1080/00016489.2020.1743353. Epub 2020 Mar 30. PubMed 32223688 ↗

Individual participant data

Plan to share: No — Individual participant data has been planned to share after publishing as a article in a journal.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04205253
Lead sponsor
Selcuk University
Responsible party
Ozkan Onal (Professor, Selcuk University) — Principal investigator
First posted
Dec 19, 2019
Start date
Oct 1, 2018
Primary completion
Apr 1, 2019
Completion
Apr 1, 2019
Last update
Dec 19, 2019

Study contacts

Ozkan Onal, Professor
principal investigator · Selcuk University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

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