Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis
Autor: | Jee Ho Lee, Doo-Hwan Kim, Namkug Kim, Junheok Ock, Jong Woo Choi, Eunseo Gwon, Sung-Hoon Kim |
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Rok vydání: | 2021 |
Předmět: |
Male
Oral anatomy Cephalometry Science Critical Illness medicine.medical_treatment Micrognathism Population Mandible Risk Assessment Article 03 medical and health sciences Imaging Three-Dimensional 0302 clinical medicine stomatognathic system 030202 anesthesiology Tongue medicine Humans Treatment Failure Airway Management Child education Orthodontics education.field_of_study Multidisciplinary business.industry Hyoid bone Infant medicine.disease Healthy Volunteers Hypoplasia medicine.anatomical_structure Ramus of the mandible Risk factors Case-Control Studies Child Preschool Medicine Female Airway management Medical imaging Tomography X-Ray Computed business Airway 030217 neurology & neurosurgery |
Zdroj: | Scientific Reports Scientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) |
ISSN: | 2045-2322 |
Popis: | In children with mandibular hypoplasia, airway management is challenging. However, detailed cephalometric assessment data for this population are sparse. The aim of this study was to find risk factors for predicting difficult airways in children with mandibular hypoplasia, and compare upper airway anatomical differences using three-dimensional computed tomography (3D CT) between children with mandibular hypoplasia and demographically matched healthy controls. There were significant discrepancies in relative tongue position (P P P = 0.01 and P = 0.02). Quantitative analysis of upper airway structures revealed significant discrepancies, including relative tongue position, hyoid distance, and mandible measures between patients with mandibular hypoplasia and healthy controls. The anterior distance of the hyoid bone and inferior pogonial angle may be risk factors for a difficult airway in patients with mandibular hypoplasia. |
Databáze: | OpenAIRE |
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