Author (First, Last), Yr Study Type No. patients/ procedures Avg age (yr, range) Procedure type Lscope Avg procedure duration Sore throat Tongue Sx rate Mucosal trauma rate Dental Sx rate Anaesth. Comp. Other Resolution course NOTES
Maughan, Sandhu 2020
Departmental series Prospective
141/150
48 (18-86)
All SL benign cases
Dedo-Pilling (+/- Lindholm)
16min (range 2-61min)
66%
6.7%
3%
1.3%
All by end of second POW
Okui, Watanabe 2019
Departmental record review Retrospective
550/-
43.9 (28-60)
All MLS benign cases
Nagashima (small or very small)
11min (+/-14mins)
40%
22.8%
12%
4.9%
1 anaphylactic shock to Suggamadex
1 VC oedema, 1 bleeding, 13.4% cough, 2% neck pain
All resolved, most in 4 days, 16.7% tongue Sx took >POW3 to resolve.
Larner, Griffith 2019
Departmental series Retrospective
174/213
58.5 (24-89)
Benign & malignant SL cases
Ossoff-Pilling, Dedo-Pilling, Zeitelsf #4
Not reported (but 2/213 >30mins)
43%
1.2%
0.2%
0.5%
1 gum ulceration, 1 nasal tip laser burn
Not reported
3min breaks between 30min continuous SL periods. All tongue Sx occurred with Lewy system
Ozdamar, Celik 2019
Single surgeon series Prospective Blinded f/u
56/56
47.7 (19-84)
All benign & malignant SL cases
Kleinsasser (small, medium or large)
26mins (range 20-45min)
Not reported
8.9%
-
-
3 Sx (2 mild numbness,1 ?what) resolved in POW1, 2 ?what resolved in POM1
Feng, Song 2018
Experimental cohort Prospective Blinded
56/-
58 (19-83)
SL cases recruited in clinic, majority benign
Size 6 universal modular glottiscope
34min (SD 7-18mins)
Not reported
53.5%
-
-
Not reported
Max force/Avg force/total impulse correlated with tongue Sx & odynophagia. Women 30% more tongue Sx
Tessema, Sessions 2016
Single surgeon series Retrospective
122/100
46 (14-83)
All SL therapeutic cases
Dedo-Pilling (+/- Lindholm)
43.6min. 19% >60mins duration
Not reported
18%
-
4.0%
14 resolved at POM1, 3 resolved at POM3, 1 residual dysguesia
Lewy suspension system used
Dos Anjos Corvo, Campos Duprat 2007
Departmental series Prospective
36/37
48 (18-80)
All SL benign or malignant suspicion cases
Holinger or Kleinsasser
14 <30min, 16 30-60mins, 7 >60mins
Not reported
13.5%
130%
2.7%
All tongues ’improved’ by end of POM2
Oral cavity exam pre-op incl teeth, taste & sensation grossly tested
Rosen, Buckmire 2005
Departmental series Prospective
53/56
50
All SL benign cases
Size 4,5 or 6 universal modular glottiscope
52mins (range 5-142mins)
Not reported
17.9%
-
12.5%
3 dry mouths
Avg POD11, longest POD34
Boston suspension system used. 9 patients had >1 symptom. Largest scope UMG-6 caused 86% complications & of longer duration
Klussman, Eckel 2002
Departmental series Prospective
339/-
59 (29-86)
All planned SL benign & malignant cases, 82% intubated
Not specified
Not reported
Not reported
3.8%
105%
6.5%
Lingual POW1-60 (median 4), hypoglossal POW6-16 (median 8)
Mucosal lesions 20% higher in intubated patients. 40% dental injuries were lower jaw. Vast majority had pre-op peridontal disease