Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis

Abstract 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...

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Autores principales:	Doo-Hwan Kim, Eunseo Gwon, Junheok Ock, Jong-Woo Choi, Jee Ho Lee, Sung-Hoon Kim, Namkug Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/31e4f1abe0084477a8a57fc99a242eb4
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spelling	oai:doaj.org-article:31e4f1abe0084477a8a57fc99a242eb42021-12-02T16:57:37ZDevelopmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis10.1038/s41598-021-89302-42045-2322https://doaj.org/article/31e4f1abe0084477a8a57fc99a242eb42021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89302-4https://doaj.org/toc/2045-2322Abstract 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 < 0.01) and anterior distance of the hyoid bone (P < 0.01) between patients with mandibular hypoplasia and healthy controls. All mandibular measures were significantly different between the two groups, except for the height of the ramus of the mandible. After adjusting for age and sex, the anterior distance of hyoid bone and inferior pogonial angle were significantly associated with a difficult airway (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.Doo-Hwan KimEunseo GwonJunheok OckJong-Woo ChoiJee Ho LeeSung-Hoon KimNamkug KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Doo-Hwan Kim Eunseo Gwon Junheok Ock Jong-Woo Choi Jee Ho Lee Sung-Hoon Kim Namkug Kim Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis
description	Abstract 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 < 0.01) and anterior distance of the hyoid bone (P < 0.01) between patients with mandibular hypoplasia and healthy controls. All mandibular measures were significantly different between the two groups, except for the height of the ramus of the mandible. After adjusting for age and sex, the anterior distance of hyoid bone and inferior pogonial angle were significantly associated with a difficult airway (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.
format	article
author	Doo-Hwan Kim Eunseo Gwon Junheok Ock Jong-Woo Choi Jee Ho Lee Sung-Hoon Kim Namkug Kim
author_facet	Doo-Hwan Kim Eunseo Gwon Junheok Ock Jong-Woo Choi Jee Ho Lee Sung-Hoon Kim Namkug Kim
author_sort	Doo-Hwan Kim
title	Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis
title_short	Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis
title_full	Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis
title_fullStr	Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis
title_full_unstemmed	Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis
title_sort	developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3d computational tomographic analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/31e4f1abe0084477a8a57fc99a242eb4
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_version_	1718382493166469120

Developmental features and predicting airway failure risk in critically ill children with mandibular hypoplasia using 3D computational tomographic analysis

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