Difficult laryngeal exposure in microlaryngoscopy: Can it be predicted preoperatively?

Roshna Rose Paul*, Ajoy Mathew Varghese, John Mathew, Ramanathan Chandrasekharan, Sophia Amalanathan, Syed Kamran Asif, Mary Kurien

*المؤلف المقابل لهذا العمل

نتاج البحث: المساهمة في مجلةمراجعة النظراء

4 اقتباسات (Scopus)

ملخص

The aim of the present study was to identify preoperative clinical predictors for difficult laryngeal exposure (DLE) and to define a simple grading system for laryngeal exposure. This is a prospective descriptive study carried out in a tertiary teaching hospital in South India. Patients above 18 years undergoing microlaryngoscopy had presurgical evaluation of 11 physical parameters. Grading of Modified Cormack-Lehane Score (MCLS) and rigid laryngoscopy were done during procedure. On logistic regression analysis, with a 95 % confidence interval (CI) MCLS was found to be a statistically significant predictor (odds ratio 12). With 90 % CI, neck circumference, atlanto-occipital extension and MCLS were significant (odds ratio of 4, 4, 12 respectively). Neck circumference of more than 34.25 cm and limited atlantooccipital extension of less than 19.50, predicts difficult laryngeal exposure. A simple grading system for laryngeal exposure during microlaryngoscopy is being proposed. MCLS grade more than 2a done intra operatively correlates well with difficult intubation.

اللغة الأصليةEnglish
الصفحات (من إلى)65-70
عدد الصفحات6
دوريةIndian Journal of Otolaryngology and Head and Neck Surgery
مستوى الصوت68
رقم الإصدار1
المعرِّفات الرقمية للأشياء
حالة النشرPublished - سبتمبر 21 2016
منشور خارجيًانعم

ASJC Scopus subject areas

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