CLINICAL ASSESSMENT BETWEEN MEASUREMENT OF MANDIBULAR CONDYLAR MOBILITY (USG GUIDED) VERSUS MAXIMUM CONDYLE - TRAGUS DISTANCE IN PREDICTING DIFFICULT LARYNGOSCOPY
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- 1 USG guided measurement of mandibular condylar mobility using high
Study Overview
Brief Summary
Pre operative airway assessment is a crucial step in airway management. There is no single parameter which has maximum accuracy in this perspective. There are many studies in this field to explore different parameters for this purpose. Using USG measurments particularly to measure mandibular condylar mobility adds a sophisticated dimension to predicting laryngoscopy.
By comparing the efficacy of USG guided measurements with conventional parameters like Maximum condyle tragus distance, Upper Lip Bite Test, Inter Incisor Gap and Mandibular Protrusion Distance, this study helps to find the most reliable indiactors for anticipating a difficult airway. This approach could potentially improve preoperative assessmnet, making airway management safer and more efficient.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 18.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Age 18-65 years
- •ASA Grade I & II
- •Patients scheduled for tracheal intubation under general anaesthesia.
Exclusion Criteria
- •1 Patients with maxillofacial trauma or malformation 2 Patients with maxillofacial oral or tongue cancer 3 Patients with laryngeal and tracheal neck tumor compression 4 Patients with BMI more than 30 5 Patients with history of previous difficult intubations 6 Uncooperative patients 7 Patient with asymmetric movement of TMJ joint 8 Bearded patients 9 Patients with age less than 18 years & more than 65 years.
Outcomes
Primary Outcomes
1 USG guided measurement of mandibular condylar mobility using high
Time Frame: Before induction till during the procedure
frequency linear array ultrasound probe
Time Frame: Before induction till during the procedure
2 Conventional measurement of Maximum Condyle Tragus distance measured
Time Frame: Before induction till during the procedure
using examiners finger
Time Frame: Before induction till during the procedure
3 Cormack-Lehane grading will be measured during laryngoscopy without
Time Frame: Before induction till during the procedure
external manipulation
Time Frame: Before induction till during the procedure
Secondary Outcomes
- 1 Inter Incisor Gap measurement(2 Upper Lip Bite Test grading)
Investigators
Dr Varsha M
Gandhi Medical College, Bhopal