Airway management plays a crucial role in providing adequate oxygenation and ventilation to patients during various medical procedures and emergencies. When patients have a limited mouth opening due to factors such as trauma, inflammation, or anatomical abnormalities airway management becomes challenging. A commonly utilized method to overcome this challenge is the use of video laryngoscopy (VL), which employs a specialized device equipped with a camera and a light source to allow a clear view of the larynx and vocal cords. VL overcomes the limitations of direct laryngoscopy in patients with limited mouth opening, enabling better visualization and successful intubation. Various types of VL blades are available. We devised a novel flangeless video laryngoscope for use in patients with a limited mouth opening and then tested it on a manikin.
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http://dx.doi.org/10.5492/wjccm.v14.i1.98938 | DOI Listing |
Dent Med Probl
March 2025
Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli", Naples, Italy.
Background: The accurate determination of the working length (WL) is imperative for endodontic success.
Objectives: Our objective was to systematically analyze the available evidence on the impact of voxel size variation on the estimation of WL using cone-beam computed tomography (CBCT).
Material And Methods: An electronic search of the PubMed, Scopus, Embase, and Web of Science databases was conducted according to specific inclusion and exclusion criteria in March 2022.
HCA Healthc J Med
February 2025
Ross University School of Medicine, Barbados.
Background: Airway management in emergency situations poses significant challenges, particularly in patients with difficult airway anatomy or comorbid conditions. Blind nasal intubation has been explored as a rescue technique when conventional methods fail. Masseter muscle rigidity (MMR), characterized by significant jaw muscle stiffness, is a recognized complication following succinylcholine administration that can complicate traditional approaches to securing an airway.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
February 2025
Basaksehir Cam and Sakura City Hospital, Başakşehir, Istanbul, Turkey.
Difficult airway management in oromaxillofacial tumor surgery poses significant challenges for anesthesiologists. We present two case reports of patients with mandibular malignant tumors and maxillary osteosarcoma who underwent surgery under general anesthesia. Preoperative assessment revealed a mass involving the right mandible, completely covering the inside of the mouth and invading the floor of the mouth in the first case, and a mass in the left maxilla extending to the zygomatic arch and orbital floor in the second case.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
January 2025
Basaveshwara Medical College & Hospital, Chitradurga, Karnataka 577501 India.
Sublingual epidermoid cysts are rare benign lesions derived from ectodermal tissue, typically located beneath the tongue or the floor of the mouth. While often asymptomatic, these cysts can grow and cause discomfort or complications, making accurate diagnosis and appropriate treatment crucial. We present the case of a 6-year-old Indian girl diagnosed with an implantation keratinized sublingual epidermoid cyst, initially misidentified as a plunging ranula.
View Article and Find Full Text PDFIndian J Otolaryngol Head Neck Surg
February 2025
Department of ENT HNS, Army Hospital Research and Referral, New Delhi, 110010 India.
Transoral Parapharyngeal Space Surgery (TOPPSS) is often opted by surgeons for parapharyngeal tumors. But its broad implementation is curtailed by limited exposure and the potential for various complications to arise. In this article, authors have outlined the 'DK et al.
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