Easy and safe dental protection in rigid endoscopy

Quante, Gero; Knoedgen, Robert; Eckel, Hans Edmund; Klußmann, Jens Peter

doi:10.1016/j.otohns.2004.09.061

Cited by 6 publications

(4 citation statements)

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“…Some methods require a second visit for impressions and the cost of extra hours of professional fees 1. Other methods require special materials and extra operative time 2. The Boil and Bite mouth guard is inexpensive but requires the patient to satisfactorily create the mouth guard prior to surgery 3.…”

Section: Discussionmentioning

confidence: 99%

Cost-effective dental protection during rigid endoscopy

2011

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Section: Discussionmentioning

confidence: 99%

Cost-effective dental protection during rigid endoscopy

2011

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“…Eine prospektive Untersuchung aus einem Krankenhaus an 56 Patienten machte leider keinen genauen Angaben zur postoperativen Blutung [7]. Klussmann et al berichten über eine Blutungsrate von 7 %, betrachteten aber alle Blutungsereignisse, also auch die, welche keine erneute Operation nötig machten [5] Zahnschutz verwendet wurde [5,24]. Zahnschäden nach direkter Laryngoskopie werden mit Raten von 0 bis 6,5 % angegeben [6,5,7].…”

Section: Patientenunclassified

Mikrolaryngoskopie: Eine populationsbezogene Analyse zu Outcome, Komplikationen und Operationsraten

Gräfe

Böger²,

Büntzel

et al. 2017

Laryngo-Rhino-Otol

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Although microlaryngoscopy is an integral part of surgical routine of otorhinolaryngologists, there is no population-based data published on surgery rates and efficiency of microlaryngoscopy country-wide or nation-wide. All 616 patients who underwent microlaryngoscopy 2011 in one of the eight ENT departments in Thuringia were analyzed according to patients' characteristics, therapy, complications and follow-up. The majority of admissions were performed because of a benign disease (60%) of the larynx, and in 33% related to a malignant disease or suspicion of a malignant disease. When a benign disease was suspected, it was confirmed 98% of cases. When a malignant tumor was suspected, it was confirmed in 51% of cases, i. e. ruled out in 49% of cases. Transient laryngeal edema (22%) and bleeding needing revision surgery (1%) were the most frequent or serve observed postoperative sequelae. Teeth damage occurred only in 2 cases (0.2%). A recurrence of the primary disease was observed in 14%. Longer surgery time was an independent predictor for postoperative bleeding and for postoperative laryngeal edema (p=0.050 and p=0.013, respectively). Revision surgery (p<0.0001) and a final diagnosis of a malignant disease (p=0.017) were independent predictors for recurrence of the primary disease. The overall incidence of microlaryngoscopy was 22.98/100000 population. The highest incidence was seen for patients 50-59 years of age with 39.76/100000. Benign diseases were the most frequent indication with 19.33/100000. This population-based analysis is showing that microlaryngoscopy is performed effectively and with low postoperative risks in daily routine of otorhinolaryngologists.

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“…Closed‐claim analyses of peri‐operative anaesthesia mishaps have shown iatrogenic dental trauma to be one of the major contributors accounting for significant insurance claims (1). Many methods have been employed with varying results to prevent dental trauma during direct laryngoscopy in anaesthetized patients having pre‐existing dental problems (2–4). Limitation of these devices includes non‐availability, cost, non‐suitability, non‐user friendly and sterilization.…”

Section: Dental Problemsmentioning

confidence: 99%