In a prospective study of 60 patients undergoing microlaryngeal surgery (MLS), a six-parameter preoperative scoring tool (range 0–12; cutoff ≥6) was evaluated for predicting difficult laryngeal exposure (DLE). DLE occurred in 30% of cases, with the tool demonstrating 77.8% sensitivity, 80.9% specificity, and strong negative predictive value (89.5%). Significant predictors included upper jaw dental status, neck flexion-extension, thyromental distance, and inter-incisor gap, whereas Mallampati score and BMI showed no correlation. This practical scoring system enables early identification of patients at risk, improving preparedness and minimizing complications during MLS.
To read more ; Click here Is it time to move beyond traditional predictors and incorporate structured scoring for safer MLS? ##Reference## Patel, D., Sharma, S., Solanki, Z.D. et al. Assessing Laryngeal Exposure: A…
