دورية أكاديمية
Airway evaluation by indirect laryngoscopy in patients with lingual tonsillar hypertrophy.
| العنوان: | Airway evaluation by indirect laryngoscopy in patients with lingual tonsillar hypertrophy. |
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| المؤلفون: | Sánchez-Morillo J; Servicio de Anestesiología y Reanimación, Hospital Universitario Dr. Peset, Valencia, España. Electronic address: sanchez_jormor@gva.es., Gómez-Diago L, Rodríguez-Gimillo P, Herrera-Collado R, Puchol-Castillo J, Mompó-Romero L |
| المصدر: | Acta otorrinolaringologica espanola [Acta Otorrinolaringol Esp] 2013 Sep-Oct; Vol. 64 (5), pp. 345-51. Date of Electronic Publication: 2013 Jul 27. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English; Spanish; Castilian |
| بيانات الدورية: | Publisher: Elsevier España Country of Publication: Spain NLM ID: 14540260R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1988-3013 (Electronic) Linking ISSN: 00016519 NLM ISO Abbreviation: Acta Otorrinolaringol Esp Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2009- : Madrid : Elsevier España Original Publication: Barcelona : Doyma |
| مواضيع طبية MeSH: | Laryngoscopy*/methods, Palatine Tonsil/*pathology, Adult ; Aged ; Airway Management ; Anesthesia, General ; Female ; Humans ; Hypertrophy/pathology ; Male ; Middle Aged ; Prospective Studies ; Tongue |
| مستخلص: | Introduction and Objectives: Prevalence of the lingual tonsillar hypertrophy is unknown but it is believed that its presence is associated with the difficult airway. To investigate this, indirect laryngoscopy was performed on patients in the preoperative evaluation and this pathology was diagnosed. The relationship with difficulty of viewing the larynx, intubation and ventilation, under general anaesthesia and using direct laryngoscopy, was then studied. Methods: We performed the demographic variable checks and tests for predicting difficult intubation (mouth opening, thyromental distance, cervical flexion-extension, neck thickness and Mallampati test), in the preoperative step on 300 patients who were going to be submitted to general anaesthesia. We then performed indirect laryngoscopy on them using a 70° rigid laryngoscope to ascertain the frequency of appearance of lingual tonsillar hypertrophy. Next, under general anaesthesia, we carried out direct laryngoscopy to verify whether there was difficulty in viewing the larynx and intubation and ventilation. We then investigated the association of demographic predictors of difficult intubation, including indirect laryngoscopy, with the presence of this condition. Results: Prevalence of lingual tonsillar hypertrophy was 2%. No relationship between the appearance of this entity and the difficulty of viewing the larynx, intubation and ventilation was found. Only indirect laryngoscopy was linked to the appearance of this pathology. Conclusions: Lingual tonsillar hypertrophy is a relatively frequent disorder, whose presence is not usually associated with difficult airway. (Copyright © 2012 Elsevier España, S.L. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Amígdala; Difficult airway; Direct laryngoscopy; Hipertrofia; Hypertrophy; Indirect laryngoscopy; Laringoscopia directa; Laringoscopia indirecta; Laringoscopio rígido; Rigid laryngoscope; Tonsil; Vía aérea difícil |
| تواريخ الأحداث: | Date Created: 20130731 Date Completed: 20141103 Latest Revision: 20130923 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.otorri.2013.04.004 |
| PMID: | 23896488 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1988-3013 |
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| DOI: | 10.1016/j.otorri.2013.04.004 |