{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T21:07:34Z","timestamp":1773781654867,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":183,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anesthesiology Research and Practice"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Nasotracheal intubation (NTI) is commonly used in maxillofacial trauma but carries a high risk of bleeding and airway complications, particularly with direct laryngoscopy (DL). Video laryngoscopy (VL) provides better glottic visualization and may reduce airway trauma. This study compares VL and DL for NTI in maxillofacial trauma patients, focusing on bleeding severity, intubation efficiency, and complications.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    This randomized controlled trial included 64 patients undergoing NTI for maxillofacial trauma, randomly assigned to VL or DL. The primary outcome was nasal and oropharyngeal bleeding severity, assessed using Fromme\u2019s scale. Secondary outcomes included first\u2010pass success rate, intubation time, need for adjunctive maneuvers (Magill forceps and cervical spine extension), and intubation\u2010related complications. All intubations were performed under general anesthesia following standardized airway preparation.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    VL resulted in significantly lower nasal and oropharyngeal bleeding severity, with no bleeding (score 0) observed in 43.8% of the VL patients versus 12.5% of the DL group (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.005). VL also resulted in shorter intubation times (51.9\u2009\u00b1\u20097.9\u2009s vs. 58.1\u2009\u00b1\u20098.7\u2009s;\n                    <jats:italic>p<\/jats:italic>\n                    = 0.003). The need for adjunctive maneuvers was significantly lower in the VL group (\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001), and severe complications such as fractured teeth or deep lip injuries occurred more frequently in the DL group (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.02). The first\u2010pass success rate was higher in the VL group (96.9%) than in the DL group (78.1%) though the difference was not statistically significant (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.058).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    VL demonstrated superior intubation efficiency and reduced bleeding severity compared with DL in maxillofacial trauma patients. Given its safety advantages and reduced need for adjuncts, VL appears to be a preferable technique for NTI in maxillofacial trauma though further multicenter studies are ensured.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration:<\/jats:bold>\n                    ClinicalTrials.gov identifier: NCT06386757\n                  <\/jats:p>","DOI":"10.1155\/anrp\/7797828","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T07:04:47Z","timestamp":1751526287000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Nasal and Oropharyngeal Bleeding in Video Laryngoscopy Versus Direct Laryngoscopy for Nasotracheal Intubation in Maxillofacial Trauma: A Randomized Controlled Trial"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8096-6686","authenticated-orcid":false,"given":"Ayman Mohamady","family":"Eldemrdash","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed A.","family":"Alazhary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaher Zaki","family":"Zaher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0255-6339","authenticated-orcid":false,"given":"Tarek S.","family":"Hemaida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed Essam","family":"Yahia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1592-9233","authenticated-orcid":false,"given":"Soudy S.","family":"Hammad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"e_1_2_11_1_2","first-page":"765","article-title":"Advances in Nasotracheal Intubation for Maxillofacial Trauma","volume":"137","author":"Chen J.","year":"2023","journal-title":"Anesthesia & Analgesia"},{"key":"e_1_2_11_2_2","first-page":"501","article-title":"Reducing Airway Trauma With Video Laryngoscopy: A Randomized Controlled Trial","volume":"152","author":"Patel R.","year":"2023","journal-title":"Critical Care Medicine"},{"key":"e_1_2_11_3_2","first-page":"101","article-title":"Video versus Direct Laryngoscopy for Trauma Airway Management: A Systematic Review","volume":"45","author":"Singh A.","year":"2022","journal-title":"Journal of Clinical Anesthesia"},{"key":"e_1_2_11_4_2","first-page":"415","article-title":"The Role of Magill Forceps in Nasotracheal Intubation: Benefits and Risks","volume":"130","author":"Jones T.","year":"2023","journal-title":"British Journal of Anaesthesia"},{"key":"e_1_2_11_5_2","first-page":"112","article-title":"Comparative Efficacy of Video Laryngoscopy and Direct Laryngoscopy in Airway Management","volume":"131","author":"Ahmed Y.","year":"2024","journal-title":"British Journal of Anaesthesia"},{"key":"e_1_2_11_6_2","first-page":"50","article-title":"First-Pass Success and Complications in Emergency Video Laryngoscopy","volume":"19","author":"Brown C.","year":"2023","journal-title":"Journal of Trauma and Acute Care Surgery"},{"key":"e_1_2_11_7_2","first-page":"210","article-title":"Bleeding Complications in Nasotracheal Intubation: A Meta-Analysis of Video versus Direct Laryngoscopy","volume":"29","author":"Wang Z.","year":"2022","journal-title":"Anaesthesia and Critical Care Medicine Journal"},{"key":"e_1_2_11_8_2","first-page":"309","article-title":"Effects of Video Laryngoscopy on Airway Trauma: A Systematic Review and Meta-Analysis","volume":"130","author":"Liu Y.","year":"2020","journal-title":"Anesthesia & Analgesia"},{"key":"e_1_2_11_9_2","first-page":"899","article-title":"Objective Assessment of Bleeding in Laparoscopic Surgery","volume":"12","author":"Fromme G. A.","year":"1998","journal-title":"Surgical Endoscopy"},{"key":"e_1_2_11_10_2","first-page":"331","article-title":"Airway Trauma Reduction With Video Laryngoscopy: A Randomized Clinical Trial","volume":"36","author":"Zhang L.","year":"2023","journal-title":"Anesthesiology and Emergency Medicine"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1213\/01.ane.0000169293.59514.28"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2024.12.031"},{"key":"e_1_2_11_13_2","first-page":"905","article-title":"Comparison of Video Laryngoscopy and Direct Laryngoscopy for Nasotracheal Intubation in Cervical Spine Immobilization","volume":"129","author":"Park R.","year":"2023","journal-title":"Anesthesia & Analgesia"},{"key":"e_1_2_11_14_2","first-page":"765","article-title":"Efficacy of Video Laryngoscopy in Trauma Airway Management: A Multicenter Study","volume":"137","author":"Smith A.","year":"2023","journal-title":"Anesthesia & Analgesia"},{"key":"e_1_2_11_15_2","first-page":"112","article-title":"Eliminating Magill Forceps in Nasotracheal Intubation: A Comparative Trial","volume":"131","author":"Nguyen R.","year":"2023","journal-title":"British Journal of Anaesthesia"},{"key":"e_1_2_11_16_2","first-page":"101","article-title":"Video vs Direct Laryngoscopy for Nasotracheal Intubation: A Systematic Review","volume":"45","author":"Johnson T.","year":"2022","journal-title":"Journal of Clinical Anesthesia"}],"container-title":["Anesthesiology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/anrp\/7797828","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/anrp\/7797828","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/anrp\/7797828","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T17:43:15Z","timestamp":1773769395000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/anrp\/7797828"}},"subtitle":[],"editor":[{"given":"Ronald G.","family":"Pearl","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/anrp\/7797828"],"URL":"https:\/\/doi.org\/10.1155\/anrp\/7797828","archive":["Portico"],"relation":{},"ISSN":["1687-6962","1687-6970"],"issn-type":[{"value":"1687-6962","type":"print"},{"value":"1687-6970","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-04-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7797828"}}