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    Airway management in patients with cleft lip and palate: Evaluation of intubation conditions with videolaryngoscopy
    (2021) Mengu, Servet; Ganidagli, Suleyman; Emeli, Yusuf; Mendes, Ergun; Gocergil, Huseyin; Sevimli, Reşit
    Cleft lip and palate are one of the most common congenital head and neck anomalies and are seen at a frequency of 11-15%. In this study we aimed to observe airway management and intubation conditions with videolaryngoscopy in patients with cleft lip and palate. 40 patients with cleft lip and palate (Group Y) and 40 normal patients (Group N) aged between 4 months and 10 years undergoing elective surgery were included in this prospective randomized study. Mallampati Classification (MMC), Cormack-Lehane Classification (CL-S), thyromental distance (TMM) and mouth opening were evaluated to predict difficult airway. Intubation times, number of intubation attempts, heart rate (HR), mean arterial pressure (MAP), peripheral oxygen saturation (SpO2) and end-tidal CO2 (Et-C02) values were also recorded. Intubation times was significantly higher in Group Y than Group N. HR and MAP values measured in Group Y were found to be significantly higher than Group N at the 5th and 10th minutes (p <0.05). Et-CO2 values in Group Y were found significantly higher than Group N at the 0 and 2 minutes of measurement times. It was observed that intubation was more difficult and the duration of intubation was longer in patients with cleft lip and palate compared to normal patients in the same age group. Because of this reasons hemodynamic and respiratory parameters were negatively affected in these patients.