Skip to main content

Assessment of Oxygenation and Perfusion in the Tongue and Oral Mucosa by Visible Spectrophotometry and Laser Doppler Flowmetry in Healthy Subjects

  • Conference paper
Oxygen Transport to Tissue XXIX

Part of the book series: Advances In Experimental Medicine And Biology ((AEMB,volume 614))

Abstract

Use of Visible Light Spectrophotometry (VLS) and Laser Doppler Flowmetry (LDF) is currently being studied by the authors to assess the viability of tissue margins in colon resection and to assess mucosal oxygenation in the colon. Thus, as a preliminary study it was necessary to evaluate whether there is any systematic inter-probe variability of the measurements by VLS and LDF. The oral mucosa was used as a model.

Methods SO2 with VLS (Whitland Research RM200) and blood flow with LDF (Moor Instruments DRT4) were measured at 10 sites each on the tongue and oral mucosa of 10 healthy volunteers at 0, 6 and 24 hours using 3 different probes for VLS and 2 probes for LDF.

Results The results showed that the SO2 measurements by VLS using the different probes on the tongue and mucosa were significantly correlated (P<0.05). SO2 values at 6 hours were significantly higher than at 0 and 24 hours (P<0.05) in all but one case. SO2 measurements were not correlated with LDF. LDF measurements by the 2 probes were correlated significantly (P<0.05) but the standard deviations were very large.

Conclusions SO2 measurements on the oral mucosa are reproducible. Due to the large variations in LDF, VLS is likely to be the more clinically useful tool for identifying mucosal ischaemia

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. A. Vignali, L. Gianotti, M. Braga, G. Radaelli, L. Malvezzi and V. Di Carlo. Altered microperfusion at the rectal stump is predictive for rectal anastomotic leak. Dis Colon Rectum 43, 76–82 (2000).

    Article  PubMed  CAS  Google Scholar 

  2. M. Sailer, E. S. Debus, K. H. Fuchs, J. Beyerlein and A. Thiede. Comparison of anastomotic microcirculation in coloanal J-pouches versus straight and side-to-end coloanal reconstruction: an experimental study in the pig. Int. J. Colorectal Dis. 15, 114–117 (2000).

    Article  PubMed  CAS  Google Scholar 

  3. O. Hallbook, K. Johansson, and R. Sjodahl, Laser Doppler blood flow measurement in rectal resection for carcinoma–comparison between the straight and colonic J pouch reconstruction. Br. J. Surg. 83 389–392 (1996).

    Article  PubMed  CAS  Google Scholar 

  4. D. K. Harrison, P. T. McCollum, D. J. Newton, P. Hickman and A. S. Jain, Amputation level assessment using lightguide spectrophotometry. Prosthet. Orthot. Int. 19 139–147 (1995).

    PubMed  CAS  Google Scholar 

  5. S. Friedland, D. Benaron, I. Parachikov and R. Soetikno, Measurement of mucosal capillary hemoglobin oxygen saturation in the colon by reflectance spectrophotometry. Gastrointest. Endosc. 57 492–497 (2003).

    Article  PubMed  Google Scholar 

  6. J. M. Bland and D.G. Altman, Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1 307–310 (1986).

    PubMed  CAS  Google Scholar 

  7. J. Caddick C. Raine, D. Harrison and M. Erdmann, Lightguide spectrophotometry to monitor free TRAM flaps. Adv. Exp. Med. Biol. 578 In Press (2006).

    Google Scholar 

  8. A. Fournell, S. Pourhassan, K. Franke, L. A. Schwarte, T. W. Scheeren and W. Sandmann, Reflectance spectrophotometry: A novel diagnostic approach to assess intestinal oxygenation in patients with mesenteric ischaemia. Presented at 32nd Conference of the International Society on Oxygen to Tissue, Bari, Italy 21st–26th August 2004.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer Science+Business Media, LLC

About this paper

Cite this paper

Singh, D., Stansby, G., Harrison, D. (2008). Assessment of Oxygenation and Perfusion in the Tongue and Oral Mucosa by Visible Spectrophotometry and Laser Doppler Flowmetry in Healthy Subjects. In: Kang, K.A., Harrison, D.K., Bruley, D.F. (eds) Oxygen Transport to Tissue XXIX. Advances In Experimental Medicine And Biology, vol 614. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-74911-2_26

Download citation

Publish with us

Policies and ethics