{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T04:04:47Z","timestamp":1743134687861,"version":"3.40.3"},"reference-count":36,"publisher":"Termedia Sp. z.o.o.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesiol Intensive Ther"],"abstract":"Introduction<\/jats:title>Among the numerous scores for difficult intubation assessment, there is no single score that is specific for laryngeal surgery. The parameters identified by this research will provide a foundation for developing a new score for preoperative airway assessment specific for laryngeal surgery.<\/jats:p><\/jats:sec>Material and methods<\/jats:title>This prospective pilot clinical study included 50 patients over 18 scheduled for microscopic laryngeal surgery. The following anesthesiological and surgical parameters were analyzed: flexible laryngoscopy, general and clinical data, inter-incisor gap (IIG), modified Mallampati score (MMP), S-lux, thyromental distance, sternomental distance, mandibular measurements, etc. Difficult intubation was defined according to the Intubation Difficulty Scale (IDS), and the patients were divided into difficult (DI) and normal (NI) intubation.<\/jats:p><\/jats:sec>Results<\/jats:title>According to the IDS scale, 17 (34%) intubations were characterized as difficult. Patients in the DI group were male (<i>P<\/i> = 0.033) and had apnea during sleep (<i>P<\/i> = 0.021). Other statistically significant parameters were IIG below 4 cm, reclination, neck girth, and MMP. Flexible laryngoscopy showed a high statistical significance of <i>P<\/i> = 0.0001. These parameters have an AUC of 0.955, with \u03c7<sup>2<\/sup> = 43.268, <i>P<\/i> < 0.0001.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The combination of the statistically significant parameters shows excellent accuracy in laryngeal surgery. This combination can form a basis to develop a preoperative airway assessment score specific to laryngeal surgery.<\/jats:p><\/jats:sec>","DOI":"10.5114\/ait.2024.146728","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T07:11:22Z","timestamp":1737443482000},"page":"295-304","source":"Crossref","is-referenced-by-count":0,"title":["Addition of flexible laryngoscopy to anesthesiological parameters improves prediction of difficult intubation in laryngeal surgery"],"prefix":"10.5114","volume":"56","author":[{"given":"Danica","family":"Markovi\u0107","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maja","family":"\u0160urbatovi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Du\u0161an","family":"Milisavljevi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vesna","family":"Marjanovi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toma","family":"Kova\u010devi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Stankovi\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2025,1,17]]},"reference":[{"key":"ref-1372835","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.32996"},{"key":"ref-1372836","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000004002"},{"key":"ref-1372837","doi-asserted-by":"publisher","DOI":"10.1177\/2010105815615995"},{"key":"ref-1372838","doi-asserted-by":"publisher","DOI":"10.1093\/bjaed\/mkx004"},{"key":"ref-1372839","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1660825"},{"key":"ref-1372840","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10003-1252"},{"key":"ref-1372841","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2019.09.005"},{"key":"ref-1372842","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2020.04.008"},{"key":"ref-1372843","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10023-1226"},{"key":"ref-1372844","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr-21-917"},{"key":"ref-1372845","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-018-2592-7"},{"key":"ref-1372846","doi-asserted-by":"publisher","DOI":"10.23736\/S0375-9393.18.12605-8"},{"key":"ref-1372847","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.8749"},{"key":"ref-1372848","doi-asserted-by":"publisher","DOI":"10.23736\/S0375-9393.19.14127-2"},{"key":"ref-1372849","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S348813"},{"key":"ref-1372850","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijge.2016.11.003"},{"key":"ref-1372851","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2015.00038"},{"key":"ref-1372852","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-018-0534-4"},{"key":"ref-1372853","doi-asserted-by":"publisher","DOI":"10.4103\/0259-1162.134493"},{"key":"ref-1372854","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeu373"},{"key":"ref-1372855","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005479"},{"key":"ref-1372856","first-page":"615","article-title":"A study to investigate the relationship between difficult intubation and prediction criterion of difficult intubation in patients with obstructive sleep apnea syndrome","volume":"17","author":"Kurtipek O","year":"2012","unstructured":"Kurtipek O, Isik B, Arslan M, Unal Y, Kizil Y, Kemaloglu Y. 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