Matches in SemOpenAlex for { <https://semopenalex.org/work/W2049886113> ?p ?o ?g. }
Showing items 1 to 56 of
56
with 100 items per page.
- W2049886113 endingPage "249" @default.
- W2049886113 startingPage "249" @default.
- W2049886113 abstract "We read with interest the letters on the visible epiglottis (1,2). We treated a 10-yr-old girl with cervical hemivertebrae fused in extension. She also had a short, webbed, neck which was extended, and mobility was restricted to the atlanto occipital joint. She was to undergo neck web release and scapuloplasty. Her airway was anticipated to be difficult. On examination, she had a visible epiglottis (Figs. 1 and 2). On laryngoscopy, visualization was adequate (Cormack and Lehane Grade II), and intubation was easy.Figure 1: Child with the visible epiglottis.Figure 2: Lateral radiograph of neck of the same patient showing the tip of the epiglottis lying opposite C2 vertebra and the abnormally fused vertebral bodies.Subsequent to this case, we looked for a visible epiglottis in 100 consecutive patients, ages 6–10 yr, presenting for routine preanesthetic check. We found a visible epiglottis in six, much more frequent than the 1% incidence Maleck et al. (2) have reported. This may be because the Mallampatti sign is not examined routinely in the pediatric population as it is difficult to assess, and if elicited, may not be very predictive of a difficult airway (3). In our patients who had a visible epiglottis, the level of the epiglottis was no higher in the lateral radiograph than in those whose epiglottis was not visible, implying that the epiglottis was visible because the size of the tongue was small relative to that of the pharynx, a favorable grade on the Mallampati classification (4). The infant larynx is located at C3, with the tip of the epiglottis lying at C2 (5). Despite being located higher than in adults, it is not commonly visible in infants and small children because the entire tongue is placed intraorally and obstructs the epiglottis from view. As the child grows, the larynx descends down to C4 in childhood and further to the adult position of C5-6. However, the epiglottis does not undergo a similar descent, with the tip located at around the C2-3 level (5). However, with the descent of the larynx, part of the tongue becomes pharyngeal, resulting in less obstruction to the epiglottis, especially in children of age 6–10 yr. Sreekrishna Raghavendran MD, DNB Lakshmi Vas DA, MD" @default.
- W2049886113 created "2016-06-24" @default.
- W2049886113 creator A5070534210 @default.
- W2049886113 creator A5080668013 @default.
- W2049886113 date "2000-07-01" @default.
- W2049886113 modified "2023-09-26" @default.
- W2049886113 title "The Visible Epiglottis Revisited" @default.
- W2049886113 cites W1963534569 @default.
- W2049886113 doi "https://doi.org/10.1097/00000539-200007000-00060" @default.
- W2049886113 hasPublicationYear "2000" @default.
- W2049886113 type Work @default.
- W2049886113 sameAs 2049886113 @default.
- W2049886113 citedByCount "0" @default.
- W2049886113 crossrefType "journal-article" @default.
- W2049886113 hasAuthorship W2049886113A5070534210 @default.
- W2049886113 hasAuthorship W2049886113A5080668013 @default.
- W2049886113 hasBestOaLocation W20498861131 @default.
- W2049886113 hasConcept C105702510 @default.
- W2049886113 hasConcept C105922876 @default.
- W2049886113 hasConcept C141071460 @default.
- W2049886113 hasConcept C2776888792 @default.
- W2049886113 hasConcept C2778674591 @default.
- W2049886113 hasConcept C2778716859 @default.
- W2049886113 hasConcept C2780474809 @default.
- W2049886113 hasConcept C36454342 @default.
- W2049886113 hasConcept C71924100 @default.
- W2049886113 hasConceptScore W2049886113C105702510 @default.
- W2049886113 hasConceptScore W2049886113C105922876 @default.
- W2049886113 hasConceptScore W2049886113C141071460 @default.
- W2049886113 hasConceptScore W2049886113C2776888792 @default.
- W2049886113 hasConceptScore W2049886113C2778674591 @default.
- W2049886113 hasConceptScore W2049886113C2778716859 @default.
- W2049886113 hasConceptScore W2049886113C2780474809 @default.
- W2049886113 hasConceptScore W2049886113C36454342 @default.
- W2049886113 hasConceptScore W2049886113C71924100 @default.
- W2049886113 hasIssue "1" @default.
- W2049886113 hasLocation W20498861131 @default.
- W2049886113 hasOpenAccess W2049886113 @default.
- W2049886113 hasPrimaryLocation W20498861131 @default.
- W2049886113 hasRelatedWork W2020656122 @default.
- W2049886113 hasRelatedWork W2022548263 @default.
- W2049886113 hasRelatedWork W2056929085 @default.
- W2049886113 hasRelatedWork W2066028979 @default.
- W2049886113 hasRelatedWork W2092623150 @default.
- W2049886113 hasRelatedWork W2151162189 @default.
- W2049886113 hasRelatedWork W2167355709 @default.
- W2049886113 hasRelatedWork W2462169444 @default.
- W2049886113 hasRelatedWork W2754292620 @default.
- W2049886113 hasRelatedWork W2915077692 @default.
- W2049886113 hasVolume "91" @default.
- W2049886113 isParatext "false" @default.
- W2049886113 isRetracted "false" @default.
- W2049886113 magId "2049886113" @default.
- W2049886113 workType "article" @default.