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Erschienen in: Wiener Medizinische Wochenschrift 1-2/2016

01.02.2016 | original article

Indirect laryngoscopic assessment for the diagnosis of difficult intubation in patients undergoing microlaryngeal surgery

verfasst von: Meltem Türkay, Tülin Şentürk, Birsen Yigit Arslan, Hacer Yeter, Mehmet Salih Sevdi, Salih Aydın, Ismail Gergin, Kerem Erkalp

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 1-2/2016

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Summary

Background

The aim of this study is to investigate the feasibility of using indirect laryngoscopy for the diagnosis of difficult intubations in patients who are undergoing microlaryngeal surgery.

Methods

In the pre-anesthetic examination the thyromental distance, sternomental distance, interincisor distance, neck circumference, modified Mallampati scores, and Wilson risk scores were measured. An otolaryngologist conducted an indirect laryngoscopic assessment. Direct laryngoscopic profiles were classified according to their Cormack–Lehane scores.

Results

Forty patients underwent microlaryngeal surgery. Their mean ages, neck circumferences, Cormack–Lehane scores of the patients who had intubation difficulties were statistically significantly higher than those who did not have intubation difficulties (p < 0.05). The significant differences between the indirect laryngoscopic assessment distributions of patients who either had or did not have intubation difficulty were assessed (p < 0.05).

Conclusions

Indirect laryngoscopic assessment is a simple and valuable technique that can be used for the diagnosis of difficult intubation in patients who are undergoing microlaryngeal surgery.
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Metadaten
Titel
Indirect laryngoscopic assessment for the diagnosis of difficult intubation in patients undergoing microlaryngeal surgery
verfasst von
Meltem Türkay
Tülin Şentürk
Birsen Yigit Arslan
Hacer Yeter
Mehmet Salih Sevdi
Salih Aydın
Ismail Gergin
Kerem Erkalp
Publikationsdatum
01.02.2016
Verlag
Springer Vienna
Erschienen in
Wiener Medizinische Wochenschrift / Ausgabe 1-2/2016
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI
https://doi.org/10.1007/s10354-015-0419-9