Comparison of anthropometric and conic beam computed tomography measurements of patients with and without difficult intubation risk according to modified mallampati score: New markers for difficult intubation.

BACKGROUND: The aim of this study was to compare the anthropometric and cone beam computed tomography (CBCT) measurements taken from risk-free and risky groups by using the modified Mallampati score (MMS). PATIENTS AND METHODS: A total of 176 volunteers between the ages of 18 and 65 in four different MMS classes were included in the study. The patients in classes MMS I and MMS II were accepted as risk-free and the patients in classes MMS III and MMS IV were accepted as risky for intubation. The Mann-Whitney U test was performed on the data to compare the anthropometric and radiological measurements taken from the risk-free and risky groups. A receiver operating characteristic (ROC) analysis was applied to the parameters that had a statistically significant difference. RESULTS: According to the analysis results, statistically significant differences were found in the neck circumference (NC), maximum interincisal distance (MID), thyromental distance (TMD) and sternomental distance (SMD) of the anthropometric measurements of men and women between the risk-free and risky groups (P < 0.05). In terms of CBCT measurements, the thickness of the tongue (TT), distance between the uvula and posterior wall of pharynx (U-Ph), distance between posterior nasal spine and nasopharynx (Snp-Nph) and length of the epiglottis (LE) were found to have statistically significant differences between the risk-free and risky groups of men and women (P < 0.05). CONCLUSION: The NC, MID, TMD and SMD anthropometric measurements and TT, U-Ph, Snp-Nph and LE radiologic measurements were found to support MMS, which is one of the most widely used bedside intubation prediction tests. In addition to the inclusion of CBCT for intubation prediction, U-Ph and Snp-Nph radiologic measurements were added as difficult intubation markers.

Exercise is good also for a healthy hippocampus.

OBJECTIVES: The aim of the study was to compare the hippocampus sizes of healthy medical faculty students, who were exposed to an intense data input and who underwent serious learning activity and those of healthy sport faculty students who did sports regularly by using MR images and to examine the relationship between a hippocampus size and intelligence. METHODS: We made the study with 58 healthy young males (27 sport sciences faculty students and 31 medical faculty students). R. B. Cattell 3A Culture Fair Intelligence Test was administered to the volunteers. Following this, we got MR images of our volunteers. RESULTS: We could not find a statistically significant difference between medical faculty students and sport sciences faculty students in terms of hippocampus volumes. We could not find a correlation between IQ values and hippocampus volumes. Also, we could not find a significant difference between a right and left hippocampus. CONCLUSION: While doing sport, blood flow increases in the hippocampus, as in all areas of the body. This increased blood flow creates a stimulating effect on neurogenesis. Neurons, which develop as the result of neurogenesis, mean an increase in volume (Tab. 4, Ref. 54).