:: Volume 10, Issue 3 (9-2021) ::
Int J Med Invest 2021, 10(3): 147-152 Back to browse issues page
Evaluation Of The Association Between Dental Malocclusion Classification And Laryngoscopic Grade During Airway Intubation In Patients Undergoing Surgery
Majid Vatankhah , Hashem Jarineshin , Mehrdad Melekshoar * , Farzaneh Barkhordari Aahmadi
Assistant Professor of Anesthesiology, Intensive Care fellowship, Anesthesiology & Critical Care and Pain, Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Abstract:   (2125 Views)
Background:
Airway management is one of the most important responsibilities of anesthesiologists, predict difficult tracheal intubation can reduce the possible complications of intubation. The aim of this study was to investigate the malocclusion classification and degree of laryngoscopy to predict the difficult intubation.
Methods:
A retrospective observational study was performed in Shahid Mohammadi and Shariati hospitals affiliated to Bandarabbas University of medical sciences in Iran. Over a 4-yr period from 2014 to 2018, 1080 attempts at for treatment of malocclusion were recorded.
Results:
According to the findings of this study, the highest percentage 49.3% (572 n), were malocclusion Class 1, and 42.1%( 488n) were malocclusion Class 2  and 1.7% (20 n) were malocclusion Class 3. Findings showed that the relationship between the two variables of malocclusion and the degree of laryngoscopy in terms of age, sex, thyromental distance, malamapathy and BMI showed that between the two variables of malocclusion and the degree of laryngoscopy in ages less than 10 years, there is a significant relationship and inverse correlation(r= -0.594).
Conclusion:
The results of this study showed that is no significant relationship between dental malocclusion and degree of laryngoscopy, malamapathy, gender and BMI. Malocclusion only at less than 10 years of age is effective to predict difficult laryngoscopy.
Keywords: Airway, Difficult Intubation, Malocclusion, Laryngoscopic Grade
Full-Text [PDF 180 kb]   (561 Downloads)    
Type of Study: Research | Subject: General
References
1. 1. Jain N, Das S, Kanchi M. Thyromental height test for prediction of difficult laryngoscopy in patients undergoing coronary artery bypass graft surgical procedure. Annals of cardiac anesthesia. 2017;20(2):207. 2. Philip S, Nizar FF. Prediction of difficult laryngoscopy in patients undergoing endotracheal intubation: A comparative study of various airway assessment tests. Astrocyte. 2016; 3(2):90. 3. Edelman DA, Perkins EJ, Brewster DJ. Difficult airway management algorithms: a directed review. Anesthesia. 2019 Sep;74(9):1175-85. 4 . Mohammadi SS, Saliminia A, Nejatifard N, Azma R. Usefulness of ultrasound view of larynx in pre-anesthetic airway assessment: a comparison with Cormack-Lehane classification during direct laryngoscopy. Anesthesiology and pain medicine. 2016 Dec;6(6). 5. Krage R, Van Rijn C, Van Groeningen D, Loer SA, Schwarte LA, Schober P. Cormack–Lehane classification revisited. British journal of anaesthesia. 2010 Aug 1; 105(2):220-7. 6. Rana S, Verma V, Bhandari S, Sharma S, Koundal V, Chaudhary SK. Point-of-care ultrasound in the airway assessment: A correlation of ultrasonography-guided parameters to the Cormack–Lehane Classification. Saudi journal of anaesthesia. 2018 Apr;12(2):292. 7. Fatima F, Fida M, Shaikh A. The association between palatal rugae pattern and dental malocclusion. Dental press journal of orthodontics. 2019 Feb;24(1):037e1-9. 8. Perillo, L. et al. Orthodontic treatment need for adolescents in the Campania region: the malocclusion impact on self-concept. Patient Prefer Adherence 8, 353–359 (2014). 9. Zou J, Meng M, Law CS, Rao Y, Zhou X. Common dental diseases in children and malocclusion. International journal of oral science. 2018 Mar 13;10(1):1-7. 10. Mageet1a, Adil Osman. "Classification of skeletal and dental malocclusion: revisited." (2016). 11. Yin N, Fang L, Shi X, Huang H, Zhang L. A comprehensive scoring system in correlation with perioperative airway management for neonatal Pierre Robin Sequence. PloS one. 2017;12(12). 12. Iccha K, MaharjanIbrahim HA, Abuaffan AH. Prevalence of malocclusion and orthodontic treatment needs among Down syndrome Sudanese individuals. Braz Dent Sci. 2015;18:1-5. 13. Sanyal R, Ray S, Chakraverty P, Bhattacharya MK. Comparision of airway assessment by Mallampati classification and cormack and lehane grading in Indian population. Indian Journal of Clinical Anaesthesia. 2019 Jan;6(1):140-2. 14. Moon TS, Fox PE, Somasundaram A, Minhajuddin A, Gonzales MX, Pak TJ, Ogunnaike B. The influence of morbid obesity on difficult intubation and difficult mask ventilation. Journal of anesthesia. 2019 Feb 20;33(1):96-102. 15. Soyuncu S, Eken C, Cete Y, Bektas F, Akcimen M. Determination of difficult intubation in the ED. The American journal of emergency medicine. 2009 Oct 1;27(8):905-10. 16. Saasouh W, Laffey K, Turan A, Avitsian R, Zura A, You J, Zimmerman NM, Szarpak L, Sessler DI, Ruetzler K. Degree of obesity is not associated with more than one intubation attempt: a large centre experience. British journal of anaesthesia. 2018 May 1;120(5):1110-6. 17. Wang B, Zheng C, Yao W, Guo L, Peng H, Yang F, Wang M, Jin X. Predictors of difficult airway in a Chinese surgical population: the gender effect. Minerva anestesiologica. 2019 May;85(5):478-86. 18. Singh AK, Kanase NV, Dhulkhed VK. Comparison of upper lip bite test and modified mallampati classification in predicting difficult intubation. International Journal of Scientific Research. 2019 Jul 8;8(3). 19. Hariharan, Uma, and Ashok Kumar Nishad. "Binders Syndrome and Anaesthesia." (2018). 20. Shah PN, Sundaram V. Incidence and predictors of difficult mask ventilation and intubation. Journal of anaesthesiology, clinical pharmacology. 2012 Oct;28(4):451.


XML     Print



Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 10, Issue 3 (9-2021) Back to browse issues page