caa a22 4500 445373709 CHVBK 20180317142955.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00540-011-1126-3 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1126-3 Using temporomandibular joint mobility to predict difficult tracheal intubation [Elektronische Daten] [Sevtap Sahin, Ali Yılmaz, Isıl Gunday, Murat Kargı, Necdet Sut, Oguz Taskınalp, Enis Ulucam] The aim of this prospective study was to determine the reliability of temporomandibular joint (TMJ) mobility measurements for predicting difficult intubation. To evaluate the accuracy in predicting difficult intubation by TMJ mobility measurement, 762 patients requiring general anesthesia with tracheal intubation for elective surgery were enrolled in this prospective, observational, single-blind study. Maximum mouth opening, right-left jaw excursion, and degrees of protraction were determined with a digital inclinometer. Incisor gap was measured using a vernier caliper during full mouth opening. After induction of anesthesia using a standard protocol, the patient's grade of laryngeal view by Cormack-Lehane classification was documented by an anesthesiologist. We found that the degrees of protraction and incisor gap in the easy intubation group were significantly higher than those in the difficult intubation group. The incisor gap was found to be more sensitive (88.37%) and more specific (95.71%) than protraction degrees (58.14% and 59.76%, respectively). The results revealed that measurements of the incisor gap and degrees of protraction may be useful routine screening tests for preoperative prediction of difficult intubation. Japanese Society of Anesthesiologists, 2011 General anesthesia nationallicence Laryngoscopy nationallicence Airway assessment tests nationallicence Tracheal intubation nationallicence Sahin Sevtap Department of Anaesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey aut Yılmaz Ali Department of Anatomy, Trakya University Medical Faculty, Edirne, Turkey aut Gunday Isıl Department of Anaesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey aut Kargı Murat Department of Anaesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey aut Sut Necdet Department of Bioistatistics, Trakya University Medical Faculty, Edirne, Turkey aut Taskınalp Oguz Department of Anatomy, Trakya University Medical Faculty, Edirne, Turkey aut Ulucam Enis Department of Anatomy, Trakya University Medical Faculty, Edirne, Turkey aut Journal of Anesthesia Springer Japan 25/3(2011-06-01), 457-461 0913-8668 25:3<457 2011 25 540 https://doi.org/10.1007/s00540-011-1126-3 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1126-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sahin Sevtap Department of Anaesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey aut NATIONALLICENCE 700 1- Yılmaz Ali Department of Anatomy, Trakya University Medical Faculty, Edirne, Turkey aut NATIONALLICENCE 700 1- Gunday Isıl Department of Anaesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey aut NATIONALLICENCE 700 1- Kargı Murat Department of Anaesthesiology and Reanimation, Trakya University Medical Faculty, 22030, Edirne, Turkey aut NATIONALLICENCE 700 1- Sut Necdet Department of Bioistatistics, Trakya University Medical Faculty, Edirne, Turkey aut NATIONALLICENCE 700 1- Taskınalp Oguz Department of Anatomy, Trakya University Medical Faculty, Edirne, Turkey aut NATIONALLICENCE 700 1- Ulucam Enis Department of Anatomy, Trakya University Medical Faculty, Edirne, Turkey aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/3(2011-06-01), 457-461 0913-8668 25:3<457 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer