PMID- 23878439
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20130723
LR  - 20220317
IS  - 0970-9185 (Print)
IS  - 2231-2730 (Electronic)
IS  - 0970-9185 (Linking)
VI  - 29
IP  - 2
DP  - 2013 Apr
TI  - Predicting difficult laryngoscopy in acromegalic patients undergoing surgery for 
      excision of pituitary tumors: A comparison of extended Mallampati score with 
      modified Mallampati classification.
PG  - 187-90
LID - 10.4103/0970-9185.111694 [doi]
AB  - BACKGROUND: There are numerous reports of difficult laryngoscopy and intubation 
      in patients with acromegaly. To date, no study has assessed the application of 
      extended Mallampati score (EMS) for predicting difficult intubation in 
      acromegalics. The primary aim of this study was to compare EMS with modified 
      Mallampati classification (MMP) in predicting difficult laryngoscopy in 
      acromegalic patients. We hypothesized that since EMS has been reported to be more 
      specific and better predictor than MMP, it may be superior to the MMP to predict 
      difficult laryngoscopy in acromegalic patients. MATERIALS AND METHODS: For this 
      prospective cohort study with matched controls, acromegalic patients scheduled to 
      undergo pituitary surgery over a period of 3 years (January 2008-December 2010) 
      were enrolled. Preoperative airway assessment was performed by experienced 
      anesthesiologists and involved a MMP and the EMS. Under anesthesia, laryngoscopic 
      view was assessed using Cormack-Lehane (CL) grading. MMP and CL grades of I and 
      II were defined "easy" and III and IV as "difficult". EMS grade of I and II were 
      defined "easy" and III as "difficult". Data were used to determine the 
      sensitivity, specificity, positive predictive value, negative predictive value, 
      and accuracy of MMP and EMS in predicting difficult laryngoscopy. RESULTS: 
      Seventy eight patients participated in the study (39 patients in each group). 
      Both MMP and EMS failed to detect difficult laryngoscopy in seven patients. Only 
      one laryngoscopy was predicted to be difficult by both tests which was in fact, 
      difficult. CONCLUSION: We found that addition of neck extension did not improve 
      the predictive value of MMP.
FAU - Bindra, Ashish
AU  - Bindra A
AD  - Department of Neuroanaesthesiology, Neurosciences Center, All India Institute of 
      Medical Sciences, New Delhi, India.
FAU - Prabhakar, Hemanshu
AU  - Prabhakar H
FAU - Bithal, Parmod K
AU  - Bithal PK
FAU - Singh, Gyaninder Pal
AU  - Singh GP
FAU - Chowdhury, Tumul
AU  - Chowdhury T
LA  - eng
PT  - Journal Article
PL  - India
TA  - J Anaesthesiol Clin Pharmacol
JT  - Journal of anaesthesiology, clinical pharmacology
JID - 9516972
PMC - PMC3713665
OTO - NOTNLM
OT  - Acromegaly
OT  - Mallampati classification
OT  - airway
OT  - extended Mallampati score
COIS- Conflict of Interest: None declared.
EDAT- 2013/07/24 06:00
MHDA- 2013/07/24 06:01
PMCR- 2013/04/01
CRDT- 2013/07/24 06:00
PHST- 2013/07/24 06:00 [entrez]
PHST- 2013/07/24 06:00 [pubmed]
PHST- 2013/07/24 06:01 [medline]
PHST- 2013/04/01 00:00 [pmc-release]
AID - JOACP-29-187 [pii]
AID - 10.4103/0970-9185.111694 [doi]
PST - ppublish
SO  - J Anaesthesiol Clin Pharmacol. 2013 Apr;29(2):187-90. doi: 
      10.4103/0970-9185.111694.