scholarly journals A data review of airway management in patients with oral cavity or oropharyngeal cancer: A single-institution experiences

2019 ◽  
Author(s):  
Gang Zheng ◽  
Lei Feng ◽  
Carol M Lewis
Keyword(s):  
Body Mass Index ◽  
Tracheal Intubation ◽  
Oral Cavity ◽  
Airway Management ◽  
Range Of Motion ◽  
Body Mass ◽  
Oropharyngeal Cancer ◽  
Difficult Tracheal Intubation ◽  
Mallampati Score ◽  
History Of

Abstract Background: Oral cavity and oropharyngeal cancer impose significant threat to airway management. Head and neck radiotherapy (HNRT) may further increase the difficulty of tracheal intubation. We hypothesized that a history of HNRT would be associated with a high rate of difficult tracheal intubation. Methods: Adult patients with a history of HNRT were identified. Non-HNRT controls were case-matched by age, sex and body mass index. The tracheal intubation status between the two patient groups (treated vs. untreated with HNRT) was compared. The t test was used to evaluate differences in continuous variables between the 2 groups. Fisher’s exact test or a chi-square test was used to test for associations between radiation status and patient characteristics that may be associated with difficult tracheal intubation. Odds ratio and its confidence interval were used to assess the effect of radiation status on intubation status. Results: The final cohort of 472 matched patients in age, sex and body mass index consisted of 236 patients who had HNRT before surgery and 236 who had upfront surgery without HNRT. The percentage of patients who had restricted neck range of motion in the HNRT group was significantly higher than in the control group (22.3% vs. 11.0%; P = 0.001). The proportion of patients with trismus (P = 0.11) or difficult tracheal intubation (p = 0.73) did not differ significantly between the 2 groups. 12.7% patients in the study had difficult tracheal intubation. Patients who had mallampati scores of 3 or 4 had significantly higher rate of difficult tracheal intubation than did patients with mallampati scores of 1 or 2 (17.8% vs. 8.7%; p = 0.004). Multivariate logistic regression model showed no difference between HNRT and intubation status after adjusting neck range of motion and mallampati score (OR=0.91, 95% CI: 0.510 to1.612) Conclusions: Previous treatment with HNRT was not associated with additional risk of difficult tracheal intubation. Mallampati score may be a sensitive measurement for difficult tracheal intubation in this patient population.

scholarly journals A data review of airway management in patients with oral cavity or oropharyngeal cancer: A single-institution experiences

2019 ◽  
Author(s):  
Gang Zheng ◽  
Lei Feng ◽  
Carol M Lewis
Keyword(s):  
Body Mass Index ◽  
Tracheal Intubation ◽  
Oral Cavity ◽  
Airway Management ◽  
Range Of Motion ◽  
Body Mass ◽  
Oropharyngeal Cancer ◽  
Difficult Tracheal Intubation ◽  
Mallampati Score ◽  
History Of

Abstract Background: Oral cavity and oropharyngeal cancer impose significant threat to airway management. Head and neck radiotherapy (HNRT) may further increase the difficulty of tracheal intubation. We hypothesized that a history of HNRT would be associated with a high rate of difficult tracheal intubation. Methods: Adult patients with a history of HNRT were identified. Non-HNRT controls were case-matched by age, sex and body mass index. The tracheal intubation status between the two patient groups (treated vs. untreated with HNRT) was compared. The t test was used to evaluate differences in continuous variables between the 2 groups. Fisher’s exact test or a chi-square test was used to test for associations between radiation status and patient characteristics that may be associated with difficult tracheal intubation. Odds ratio and its confidence interval were used to assess the effect of radiation status on intubation status. Results: The final cohort of 472 matched patients in age, sex and body mass index consisted of 236 patients who had HNRT before surgery and 236 who had upfront surgery without HNRT. The percentage of patients who had restricted neck range of motion in the HNRT group was significantly higher than in the control group (22.3% vs. 11.0%; P = 0.001). The proportion of patients with trismus (P = 0.11) or difficult tracheal intubation (p = 0.73) did not differ significantly between the 2 groups. 12.7% patients in the study had difficult tracheal intubation. Patients who had mallampati scores of 3 or 4 had significantly higher rate of difficult tracheal intubation than did patients with mallampati scores of 1 or 2 (17.8% vs. 8.7%; p = 0.004). Multivariate logistic regression model showed no difference between HNRT and intubation status after adjusting neck range of motion and mallampati score (OR=0.91, 95% CI: 0.510 to1.612) Conclusions: Previous treatment with HNRT was not associated with additional risk of difficult tracheal intubation. Mallampati score may be a sensitive measurement for difficult tracheal intubation in this patient population.

scholarly journals A data review of airway management in patients with oral cavity or oropharyngeal cancer: A single-institution experiences

2019 ◽  
Author(s):  
Gang Zheng ◽  
Lei Feng ◽  
Carol M Lewis
Keyword(s):  
Body Mass Index ◽  
Tracheal Intubation ◽  
Oral Cavity ◽  
Airway Management ◽  
Range Of Motion ◽  
Body Mass ◽  
Oropharyngeal Cancer ◽  
Difficult Tracheal Intubation ◽  
Mallampati Score ◽  
History Of

Abstract Background: Oral cavity and oropharyngeal cancer impose significant threat to airway management. Head and neck radiotherapy (HNRT) may further increase the difficulty of tracheal intubation. We hypothesized the patients with a history of HNRT presenting high occurrence rate of difficult tracheal intubation. Methods: The adult patients with a history of HNRT were identified to form a HNRT group. All the patients in non-HNRT group were selected by an exact matching method with the factors of age, sex and body mass index by a 1:1 radio between treated and untreated groups. The tracheal intubation status between the two patient groups (treated vs. untreated with HNRT) was compared. The t test was used to evaluate differences in continuous variables between the 2 groups. Fisher’s exact test or a chi-square test was used to test for associations between radiation status and patient characteristics that may be associated with difficult tracheal intubation. Odds ratio and its confidence interval were used to assess the effect of radiation status on intubation status. Results: The final cohort of 472 matched patients in age, sex and body mass index consisted of 236 patients who had HNRT before surgery and 236 who had upfront surgery without HNRT. The percentage of patients who had restricted neck range of motion in the HNRT group was significantly higher than in the control group (22.3% vs. 11.0%; P = 0.001). The proportion of patients with trismus (P = 0.11) and with difficult tracheal intubation (p = 0.73) did not differ significantly between the 2 groups. 12.7% patients in the study had difficult tracheal intubation. Patients who had mallampati scores of 3 or 4 had significantly higher rate of difficult tracheal intubation than did patients with mallampati scores of 1 or 2 (17.8% vs. 8.7%; p = 0.004). Multivariate logistic regression model showed no difference between HNRT and intubation status after adjusting neck range of motion and mallampati score (OR=0.91, 95% CI: 0.510 to1.612) Conclusions: Patients treated with HNRT was not associated with additional risk of difficult tracheal intubation. Mallampati score may be a sensitive measurement for difficult tracheal intubation in this patient population.

scholarly journals Airway management in patients with oral cavity or oropharyngeal cancer: A single-institution retrospective study

2019 ◽  
Author(s):  
Gang Zheng ◽  
Lei Feng ◽  
Carol M Lewis
Keyword(s):  
Tracheal Intubation ◽  
Oral Cavity ◽  
Airway Management ◽  
Range Of Motion ◽  
Oropharyngeal Cancer ◽  
Difficult Tracheal Intubation ◽  
Multivariate Logistic Regression Model ◽  
Control Group ◽  
Continuous Variables ◽  
Mallampati Score

Abstract Background: Oral cavity and oropharyngeal cancer impose significant threat to airway management. Head and neck radiotherapy (HNRT) may further increase the difficulty of tracheal intubation. Methods: The tracheal intubation status between the two patient groups (treated vs. untreated with HNRT) was compared. The t test was used to evaluate differences in continuous variables between the 2 groups. Fisher’s exact test or a chi-square test was used to test for associations between radiation status and patient characteristics that may be associated with difficult tracheal intubation. Odds ratio and its confidence interval were used to assess the effect of radiation status on intubation status. Results: The data of 4011 patients were reviewed. The final cohort of 472 matched patients in age, sex and body mass index consisted of 236 patients who had HNRT before surgery and 236 who had upfront surgery without HNRT. The percentage of patients who had restricted neck range of motion in the HNRT group was significantly higher than in the control group (22.3% vs. 11.0%; P = 0.001). The proportion of patients with trismus (P = 0.11) and with difficult tracheal intubation (p = 0.73) did not differ significantly between the 2 groups. 12.7% patients in the study had difficult tracheal intubation. Patients who had mallampati scores of 3 or 4 had significantly higher rate of difficult tracheal intubation than did patients with mallampati scores of 1 or 2 (17.8% vs. 8.7%; p = 0.004). Multivariate logistic regression model showed no difference between HNRT and intubation status after adjusting neck range of motion and mallampati score (OR=0.91, 95% CI: 0.510 to1.612). Conclusions: Patients treated with HNRT was not associated with additional risk of difficult tracheal intubation. Mallampati score may be a sensitive measurement for difficult tracheal intubation in patients with oral cavity or oropharyngeal cancer. Keywords: Radiotherapy, cancer, trismus, upper aerodigestive track, airway.

scholarly journals Lifetime body mass index and risk of oral cavity and oropharyngeal cancer by smoking and drinking habits

2003 ◽  
Vol 89 (9) ◽  
pp. 1667-1671 ◽  
Author(s):  
A Nieto ◽  
M J Sánchez ◽  
C Martínez ◽  
X Castellsagué ◽  
M J Quintana ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Oral Cavity ◽  
Body Mass ◽  
Oropharyngeal Cancer ◽  
Drinking Habits

scholarly journals The Effects of Body Mass Index on Softball Pitchers’ Hip and Shoulder Range of Motion

2020 ◽  
Vol 05 (01) ◽  
pp. E8-E13
Author(s):  
Kenzie B. Friesen ◽  
Adam W. Anz ◽  
Jeffrey R. Dugas ◽  
James R. Andrews ◽  
Gretchen D. Oliver
Keyword(s):  
Body Mass Index ◽  
Body Composition ◽  
Range Of Motion ◽  
Body Mass ◽  
Mean Difference ◽  
Additional Stress ◽  
Maximal Velocity ◽  
Strength And Conditioning ◽  
Shoulder Range Of Motion ◽  
Shoulder Range

AbstractCurrently it is hypothesized that increased body mass index may contribute to overuse injuries. Thus, if hip or shoulder range of motion is affected by body mass index, pitchers may be placing additional stress on joints as they seek to pitch at maximal velocity. The purpose of this study was to examine if range of motion at the hips and shoulders were related to body mass index classification. A sample of 147 female softball pitchers (17.0±4.2 years; 167.6±11.8 cm; 70.6±17.5 kg; body mass index=24.8±4.7 kg/m2) participated. Bilateral hip and shoulder range of motion were assessed. Multivariate analysis of variance results indicated body mass index [Wilks’ Λ=0.742, F=1.722, p=0.014, η2=0.095] significantly affected range of motion of the shoulder and hip. Post hoc results indicated the underweight group had significantly more range of motion than the obese group in hip internal range of motion on both the throwing side (mean difference=12.39, p=0.005) and glove side (mean difference=11.98, p=0.004). Although body composition is not overly emphasized among softball pitchers, the current study reveals excess weight may inhibit proper mechanics. Coaches, athletic trainers, strength and conditioning personnel, and athletes should acknowledge the role that body composition can play in affecting pitch outcomes.

scholarly journals Clinical Study of Postoperative Bleeding after Tonsillectomy in 497 Cases

2021 ◽  
Vol 4 (01) ◽  
pp. e17-e20
Author(s):  
Takeshi Tanaka ◽  
Kenji Ishii ◽  
Kyoko Matsumoto ◽  
Koushirou Miura ◽  
Ayako Kihara ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Clinical Study ◽  
General Anesthesia ◽  
Retrospective Analysis ◽  
Body Mass ◽  
Smoking Habit ◽  
Postoperative Bleeding ◽  
Operation Time ◽  
History Of

AbstractWe conducted a retrospective analysis of 497 patients who underwent tonsillectomy at Kamio Memorial Hospital from September 2015 to August 2018. A total of 35 cases (7.0%) developed postoperative bleeding and three cases (0.6%) needed a second operation under general anesthesia to stop the bleeding. Postoperative bleeding most frequently occurred between 24 hours and 6 days after the operation. The incidence of postoperative bleeding was significantly higher in males and in patients aged 20 to 39 years old. The operation time, body mass index, smoking habit, and history of hypertension were not identified as clinical risk factors for bleeding after tonsillectomy in this study.

Effect of Body Mass Index on Range of Motion and Manipulation After Total Knee Arthroplasty

2011 ◽  
Vol 26 (8) ◽  
pp. 1194-1197 ◽  
Author(s):  
Naomi E. Gadinsky ◽  
Jessica K. Ehrhardt ◽  
Christopher Urband ◽  
Geoffrey H. Westrich
Keyword(s):  
Body Mass Index ◽  
Total Knee Arthroplasty ◽  
Range Of Motion ◽  
Body Mass ◽  
Knee Arthroplasty ◽  
Total Knee

scholarly journals Natural history ofMycobacterium aviumcomplex lung disease in untreated patients with stable course

2017 ◽  
Vol 49 (3) ◽  
pp. 1600537 ◽  
Author(s):  
Ji An Hwang ◽  
Sunyoung Kim ◽  
Kyung-Wook Jo ◽  
Tae Sun Shim
Keyword(s):  
Body Mass Index ◽  
Natural History ◽  
Lung Disease ◽  
Body Mass ◽  
Initial Diagnosis ◽  
Acid Fast Bacilli ◽  
Sputum Conversion ◽  
History Of ◽  
Negative Sputum ◽  
Systemic Symptoms

Little is known about the long-term natural history ofMycobacterium aviumcomplex lung disease (MAC-LD) in untreated patients with stable course.The aim of this study was to investigate the natural course of untreated stable MAC-LD, with a focus on factors associated with clinical deterioration, spontaneous sputum conversion and prognosis.Of 488 patients diagnosed with MAC-LD between 1998 and 2011, 305 patients (62.5%) showed progressive MAC-LD resulting in treatment initiation within 3 years of diagnosis and 115 patients (23.6%) exhibited stable MAC-LD for at least 3 years with a median follow-up duration of 5.6 years. Patients with stable MAC-LD were more likely to have higher body mass index and less systemic symptoms at initial diagnosis compared with patients with progressive MAC-LD, while positive sputum acid-fast bacilli smear, fibrocavitary type and more extensive disease in radiological findings were more associated with progressive MAC-LD. Of the untreated patients with stable MAC-LD, 51.6% underwent spontaneous sputum conversion, with younger age, higher body mass index and negative sputum acid-fast bacilli smear at initial diagnosis found to be predictors of this occurrence.Advanced age, fibrocavitary type and abnormal pulmonary function were negative prognostic factors for survival in patients with stable MAC-LD.

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