Evaluation of anthropometric measurements and clinical tests in the diagnosis of difffiicult airway in patients undergoing head and neck surgery

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dc.authorscopusid57772475400
dc.authorscopusid8683168800
dc.authorscopusid36140678800
dc.authorscopusid36919303500
dc.authorscopusid56765950100
dc.contributor.authorBaspinar, Sukru Mert
dc.contributor.authorGunusen, Ilkben
dc.contributor.authorSergin, Demet
dc.contributor.authorSargin, Asuman
dc.contributor.authorBalcioglu, Sacittin Taner
dc.date.accessioned2023-01-12T20:18:59Z
dc.date.available2023-01-12T20:18:59Z
dc.date.issued2022
dc.departmentN/A/Departmenten_US
dc.description.abstractBackground/aim: The aim of this study is to research the incidence of difficult airways and the effectiveness of anthropometric measurements and clinical tests used to predict difficult airways in patients undergoing head and neck surgery. Materials and methods: This study was performed on a total of 200 patients over the age of 18 who underwent head and neck surgery between December 2019 and March 2020. The demographic data of the patients in the preoperative period, previous operations/ radiotherapy history applied to the head and neck region, and obstructive sleep apnea syndrome symptoms were recorded. In the physical examination, the jaw structure, mouth opening, jaw movement, and tooth structure of the patients, modified Mallampati classification, head and neck movements, neck circumference, thyromental and sternomental distance, atlantooccipital joint mobility, upper lip bite test, Wilson risk scoring, and Cormack-Lehane classification were evaluated. Results: The difficult laryngoscopy rate was identified as 19%, and the difficult intubation rate as 8%. Operation history related to head and neck (p = 0.002), presence of at least two of the obstructive sleep apnea syndrome symptoms (p = 0.008), Modified Mallampati score (p = 0.009), Wilson risk score (p = 0.004), upper lip bite test (p < 0.0001) and mouth opening (p = 0.001) were found to be associated with difficult laryngoscopy. Modified Mallampati score (p = 0.002), Wilson risk score (p < 0.0001), upper lip bite test (p < 0.0001), mouth opening (p < 0.0001), sternomental distance (p = 0.003), Atlantooccipital joint mobility (p = 0.001), and Cormack-Lehane classification (p < 0.0001) were found to be associated with difficult intubation. According to multiple logistic regression analysis, the results obtained for sternomental distance and mouth opening were OR 0.8, 95% CI 0.6-1.1 and OR 0.2, 95% CI 0.1-0.4, respectively. Conclusion: In patients who underwent head and neck surgery, it was observed that the frequency of difficult airway was higher, and particularly the Modified Mallampati score, Wilson risk score, upper lip bite test, and mouth opening were associated with both difficult laryngoscopy and difficult intubation.en_US
dc.identifier.doi10.55730/1300-0144.5367
dc.identifier.endpage740en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue3en_US
dc.identifier.pmid36326344en_US
dc.identifier.scopus2-s2.0-85133155879en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage730en_US
dc.identifier.trdizinid536414en_US
dc.identifier.urihttps://doi.org/10.55730/1300-0144.5367
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/536414
dc.identifier.urihttps://hdl.handle.net/11454/78999
dc.identifier.volume52en_US
dc.identifier.wosWOS:000816957200025en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTubitak Scientific & Technical Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGeneral anesthesiaen_US
dc.subjecthead and neck surgeryen_US
dc.subjectdifficult airwayen_US
dc.subjectdifficult intubationen_US
dc.subjectdifficult laryngoscopyen_US
dc.subjectPredicting Difficult Intubationen_US
dc.subjectUltrasound Quantificationen_US
dc.subjectTracheal Intubationen_US
dc.subjectObese-Patientsen_US
dc.subjectLaryngoscopyen_US
dc.subjectManagementen_US
dc.subjectGuidelinesen_US
dc.subjectSocietyen_US
dc.titleEvaluation of anthropometric measurements and clinical tests in the diagnosis of difffiicult airway in patients undergoing head and neck surgeryen_US
dc.typeArticleen_US

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