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Korean Journal of Anesthesiology 2001;40(6):815-818.
DOI: https://doi.org/10.4097/kjae.2001.40.6.815   
The Experiences of Airway Management for Anesthesia of Patients with Involved Cervical Spine Ankylosing Spondylitis.
Jun Heum Yon, Seung Jun Lee, Jun Young Kim, Younsuk Lee, Kyemin Kim, Ki Hyuk Hong
Department of Anesthesiology, Sangge Paik Hospital, College of Medicine, Inje University, Seoul, Korea.
Abstract
Ankylosing spondylitis is a chronic and systemic disease involving the axial skeleton. In patients with involved cervical spine ankylosing spondylitis, endotracheal intubation by direct laryngoscope may be difficult because they have a limitation of cervical movement and anatomical anomalies. We experienced the evaluation of thirteen patients with involved cervical spine ankylosing spondylitis by the Mallampati classification, Cormack and Lehane grade, thyromental distance and orolaryngeal angle. By Mallampati class and Cormack and Lehane grade, patients were almost class 3 or 4. Thyromental distance was 5.3 +/- 0.4 cm, and orolaryngeal angle was 90.4 +/- 8.0o.
Key Words: Anesthesia: preoperative evaluation; Disease: ankylosing spondylitis; Intubation, tracheal: difficult


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