Online ISSN: 2515-8260

Airway Assessment In Patients Undergoing Oral And Maxillofacial Surgical Procedures Under General Anesthesia: An Institutional Study

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A. Shamaa Anjum ,Dr. Santhosh Kumar M P


BACKGROUND: Preoperative management of the patient is the liability of a medical attendance. An understanding of risk factors before general anaesthesia [GA] is an important factor for preoperative management. The present study was aimed at assessing the airway of patients undergoing oral surgical procedures under general anaesthesia in our institution. MATERIAL AND METHODS: The study was performed under a university setting where all the data of patients who underwent oral and maxillofacial surgical procedure under general anaesthesia.The collected data was compiled, reviewed , tabulated and entered in SPSS software and statistically analysed. RESULTS: 55% of the patients were males and the rest (45%) were females. Airway assessment in patients according to mallampati classification revealed that 57% were of class I, 38% were of class II , 3% were of class III and less than 1% were class IV. Patients who underwent FMR (40%) and cleft lip/palate (14%) had class I airway. Patients who underwent ORIF and enucleation both had class I (19.5%), class II (3.5%) airways and class I (4%), class II (1%) airways respectively. Patients who underwent orthognathic surgery had class I (11%) and class II (3.5%) airways. Patients undergoing TMJ surgery including ankylosis release, surgery for Oral submucous fibrosis had predominantly class III (1%) and class IV (2.5%) airways. Difficult airways (class III, Class IV) were present in patients undergoing procedures like TMJ ankylosis release, and surgery for oral submucous fibrosis.The association between the mallampati classification and the treatment [oral and maxillofacial surgical procedures] done under GA was statistically significant with p=0.025 (p<0.05) [chi square test].

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