{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T06:54:13Z","timestamp":1793170453349,"version":"4.5.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>In the cleft lip and palate, the laryngoscope blade often tends to lodge inside midline clefts, causing reduced manoeuvrability and tissue trauma. The paraglossal technique avoids the midline and offers better Cormack Lehane (CL) grades. We aimed to assess the first-pass intubation rate in performing the left paraglossal laryngoscopy with a curved-blade videolaryngoscope (VLS) versus direct laryngoscope (DLS) in children with cleft palate and evaluate the time taken for successful endotracheal intubation (TTI) and Intubation Difficulty Score (IDS) with both devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This randomised controlled trial included 60 patients with cleft palate, between 3 months and 6 years. Patients were randomised into group V (VLS) (n = 30) and group D (DLS) (n = 30). Left paraglossal laryngoscopy was done with VLS or DLS, and the first-pass intubation, TTI, CL grade and IDS were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      First-pass intubation (primary outcome) was successful in all cases in group V and in 29 (96%) cases in group D (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.923). Amongst the secondary outcomes, the IDS of the majority in both groups was 1\u20134 (slight difficulty) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.98) and the mean TTI In group D was 34.6 s (SD = 19.0) (95% CI: 27.5\u201341.7) versus 39.8 s (SD = 5.2) (95% CI: 37.8\u201341.7) in group V (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.151).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>There was no significant difference in the use of a VLS over a DLS in performing the left paraglossal laryngoscopy in terms of first-pass intubation rate, CL Grade, IDS and TTI. Further studies with different VLS may be done to improve the ease of this technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_463_21","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T07:43:16Z","timestamp":1631605396000},"page":"593-599","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Videolaryngoscopic versus direct laryngoscopic paraglossal intubation for cleft lip\/palate reconstructive surgeries"],"prefix":"10.4103","volume":"65","author":[{"given":"Ananya","family":"Ray","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indu Mohini","family":"Sen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neerja","family":"Bhardwaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandhya","family":"Yaddanapudi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preethy","family":"Mathews","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240902","first-page":"45","article-title":"Epidemiology-clinical profile of cleft lip and palate among children in India and its surgical consideration","volume":"2","author":"Banerjee","year":"2013","journal-title":"Can J Surg"},{"key":"R2-5-20240902","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1111\/pan.12080","article-title":"A novel intubation technique in bilateral cleft palate pediatric patients:Hard gum shield-aided 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and palate surgery","volume":"5","author":"Somerville","year":"2005","journal-title":"Contin Educ Anaesth Crit Care Pain"},{"key":"R13-5-20240902","first-page":"406","article-title":"Can paraglossal approach be an effective alternative to the conventional laryngoscopy in routine anesthesia practice \u2013A comparative study","volume":"5","author":"Jindal","year":"2014","journal-title":"J Anesth Clin Res"},{"key":"R14-5-20240902","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4103\/arwy.arwy_30_20","article-title":"Midline versus paraglossal laryngoscopic approach using the Miller blade in small children:A randomised, controlled, cross-over study","volume":"3","author":"Roychoudhury","year":"2020","journal-title":"Airway"},{"key":"R15-5-20240902","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1007\/s12630-015-0336-9","article-title":"A comparison between left molar direct laryngoscopy and the use of a Bonfils intubation fibrescope for tracheal intubation in a simulated difficult airway","volume":"62","author":"Gupta","year":"2015","journal-title":"Can J Anaesth"},{"key":"R16-5-20240902","first-page":"1","article-title":"Alternative intubation technique in a case of Treacher Collins Syndrome","volume":"11","author":"Agrawal","year":"2005","journal-title":"Internet J Anesthesio"},{"key":"R17-5-20240902","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1097\/ALN.0b013e318246ea34","article-title":"Comparative effectiveness of the C-Mac video laryngoscope versus Direct laryngoscopy in the setting of the predicted difficult airway","volume":"116","author":"Aziz","year":"2012","journal-title":"Anesthesiology"},{"key":"R18-5-20240902","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.jclinane.2019.08.009","article-title":"A randomized trial of the glottic views with the classic miller, Wis-Hipple and C-MAC (videolaryngoscope and direct views) straight size 1 blades in young children","volume":"60","author":"Elattar","year":"2020","journal-title":"J Clin Anesth"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_463_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:33:29Z","timestamp":1787772809000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_463_21"}},"subtitle":["A randomised controlled trial"],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":18,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_463_21","relation":{},"ISSN":["0019-5049"],"issn-type":[{"value":"0019-5049","type":"print"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}