Articles Vol. 65 No. 6 30/10/2024

55. THE EVALUATION OF THE INCIDENCE AND SOME PREDICTIVE FACTORS IN DIFFICULT ENDOTRACHEAL INTUBATION IN PATIENTS UNDERGOING SURGERY FOR FACIAL ABSCESS

Vu Doan Tu1,2, Nguyen Quang Binh1,2, Nguyen Huu Tu3,4, Nguyen Van Luan5,6
1 Hanoi Central Hospital of Odonto-Stomatology
2 Bệnh viện Răng Hàm Mặt Trung ương
3 Hanoi Medical University
4 Trường Đại học Y Hà Nội
5 Vietnam Military Medical Academy
6 Học viện Quân Y
Corresponding author: vudoantu1993@gmail.com
DOI: 10.52163/yhc.v65i6.1711
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Keywords
Facial abscess difficult intubation jaw tightness
Abstract

Objective: Study aims to determine the rate and clarify some valuable clinical features in predicting difficult intubation in patients undergoing maxillofacial abscess surgery.

Objects and methods: Prospective, descriptive study involved 347 patients with facial abscesses who undergoing surgery at the Central Maxillofacial Hospital in Hanoi from August 2023 to October 2024.

Results: The average age of the patients is 48.92 ± 18.02 years; the ratio of male to female in the research is 3/1,8. The most common sites of abscesses are masseter muscle abscesses (43,5%), submandibular abscesses (25,4%), and submandibular - floor of mouth - lateral pharyngeal wall abscesses (20,8%). The rate of difficult endotracheal intubation are 46,97%. Factors such as jaw tightness, difficulty swallow, difficulty breathing hoarseness, loss of the lower jaw's bony margin and limited tongue movement are found to be significant predictive factors (p < 0.001).

Conclusions: The rate of difficult endotracheal intubation is 46.97%. The predictive factors in difficult intubation including jaw tightness, airway obstruction and swelling of the floor of mouth - lateral pharyngeal wall.

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