Hubungan Lima Parameter Kraniofasial dengan Skor Cormack-Lehane pada Anak Indonesia Usia 4–12 Tahun

• Main Authors: Christoper Kapuangan, Jemmy Wilson Tanod, Andi Ade Wijaya, Ratna Farida Soenarto
• Format: Article
• Language: Indonesian
• Published: Universitas Padjadjaran 2014-12-01
• Series: Jurnal Anestesi Perioperatif
• Online Access: http://journal.fk.unpad.ac.id/index.php/jap/article/view/328

Airway assessment is very important, especially in pediatric patients. Adult airway guidelines can not be applied to pediatric population. The aim of this study was to determine the association between five craniofacial parameters and the Cormack-Lehane scores in 4 to 12 year-old Indonesian pediatric patients. This was an observational analytic study conducted in RSUPN Cipto Mangunkusumo from March to September 2013. Data were collected consecutively on 134 patients who underwent general anesthesia. The distance of the lower lip to mentum, mandibular angle to mentum, ear tragus to mouth, mentohyoid distance and distance of left and right mandibles were measured. Laryngoscopic difficulty levels were assessed using Cormack-Lehane score and divided into two groups: easy and difficult. Data analysis was performed using the Mann-Whitney Test and unpaired t-test to find the association between those five parameters and the Cormack-Lehane score. This study did not find any significant relationshis between all craniofacial parameters above and Cormack Lehane scores (p values: 0.349, 0.638, 0.499, 0.765, and 0.301 respectively). We concluded that in Indonesian pediatric population aged 4 to 12 years, the five craniofacial parameters cannot be used to predict laryngeal visualization.