Akademik Veri Yönetim Sistemi
16th World Congress of Anaesthesiologists (WCA), Hong Kong, PEOPLES R CHINA, 28 Ağustos - 02 Eylül 2016, cilt.123, ss.673-674
Background & Objectives: The aims of this study were to evaluate the relationship between
cleft lip-palate and difficult laryngoscopy and intubation also the risks of difficult laryngoscopy
and entubation in children with isolated cleft lip or palate or combined cleft lip-palate. Also to
evaluate association between deformities and mallampati scores. Another studied parameter
was possible relationships between content of anomalies and airway problems (obstruction,
laryngospasm, bronchospasm, wheezing) at postoperative/postextubation period.
Materials & Methods: One hundred and twenty two patients aged 4 months and 10 years
undergone plastic surgery due to cleft lip/palate or with both of deformities were enrolled in
the study. Data were collected retropectively. Demographic data, mallampati scores, hemodynamic
data, end tidal CO2 levels at intubation and extubation period and postoperative airway
complications (laryngospasm, bronchospasm, wheezing) were recorded.
Results: There was a significant association between combined cleft lip-palate and higher mallampati
scores (p:0,001).
Corckman lehane scores of patients with isolated cleft lip were lower while of patients with
combined cleft lip and palate were found higher. This association was statistically significant
also (p:0.001). Laryngoscopic view of patients undergone first operation versus patients had
more than one operation were not different (p:0.1).
There was significant correlation between higher mallampati scores and end tidal CO2 elevation
at first record (p:0.0001). End tidal CO2 elevation incidence was significantly higher in
patients whom underwent operation first time than patients underwent twice or third operation
(p:0.006). End tidal CO2 elevation incidence was significantly higher in patients who had a
higher laryngoscopic view (p:0.0001).
Conclusion: Both of three types of anomaly were found as risk factors for difficult laryngoscopy
and intubation. Mallampati scores can be used as predictive markers in difficult intubation and
laryngoscopy in this patient group. There was no association between type of anomaly and postoperative
airway complications. End tidal CO2 elevation may be useful in determining airway complications
(bronchospasm, laryngospasm, wheezing) at post intubation and extubation periods.