Assessment of intracranial pressure with ultrasonographic measurement of optic nerve sheath diameter on patients undergoing suspension direct laryngoscopy

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dc.authorid0000-0002-8164-4056en_US
dc.authorid0000-0002-2311-6431en_US
dc.authorid0000-0001-9554-8922en_US
dc.authorid0000-0001-7476-2217en_US
dc.authorid0000-0002-6088-1415en_US
dc.contributor.authorKaralı, Elif
dc.contributor.authorDemirhan, Abdullah
dc.contributor.authorGüneş, Akif
dc.contributor.authorYıldız, İsa
dc.contributor.authorUral, Ahmet
dc.date.accessioned2024-03-26T11:40:35Z
dc.date.available2024-03-26T11:40:35Z
dc.date.issued2023en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractPurpose The study aims to examine the effect on intracranial pressure by calculating the optic nerve sheath diameter (ONSD) using ultrasound in patients who underwent suspension direct laryngoscopy. Methods Thirty-three patients who underwent suspension direct laryngoscopy were included in this prospective observational study. ONSD measurement was performed using a high-frequency linear probe. The ONSD basal (T0) value was determined using ultrasound in the supine position before the induction. Ultrasonography was used to record ONSD in the Boyce Jackson position (T1) just before inserting the laryngeal blade, in the Boyce Jackson position just before removing the laryngeal blade (T2), and in the supine position (T3) just before extubation. Results A statistically significant rise (p < 0.001) was seen between the patients' baseline ONSD values and the values at T1, T2, and T3. The optic nerve sheat diameter level recorded prior to withdrawing the laryngeal blade (T2) was considerably greater than the ONSD level calculated instantly before insertion of the laryngeal blade (T1) (p < 0.001). The ONSD value prior to extubation (T3) following the removal of the laryngeal blade was considerably smaller than the ONSD value prior removing the laryngeal blade (T2) (p < 0.001). Conclusions This study found that when the laryngeal blade is mounted during the suspension direct laryngoscopy surgery, there is a significant increase in ultrasonographically measured ONSD and increased the ONSD even further during the time the mouth gag was remained in situ. This is the first research to indicate that measuring ONSD with ultrasonography during suspension direct laryngoscopy raises intracranial pressure.en_US
dc.identifier.citationKarali, E., Demirhan, A., Günes, A., Yildiz, I., & Ural, A. (2023). Assessment of intracranial pressure with ultrasonographic measurement of optic nerve sheath diameter on patients undergoing suspension direct laryngoscopy. European Archives of Oto-Rhino-Laryngology, 280(4), 1835-1840.en_US
dc.identifier.doi10.1007/s00405-022-07709-9
dc.identifier.endpage1840en_US
dc.identifier.issn0937-4477
dc.identifier.issn1434-4726
dc.identifier.issue4en_US
dc.identifier.pmid36282423en_US
dc.identifier.scopus2-s2.0-85141157557en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1835en_US
dc.identifier.urihttp://dx.doi.org/10.1007/s00405-022-07709-9
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12110
dc.identifier.volume280en_US
dc.identifier.wosWOS:000871840900002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKaralı, Elif
dc.institutionauthorDemirhan, Abdullah
dc.institutionauthorGüneş, Akif
dc.institutionauthorYıldız, İsa
dc.institutionauthorUral, Ahmet
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSuspension Laryngoscopyen_US
dc.subjectMicrolaryngoscopic Surgeryen_US
dc.subjectIntracranial Pressureen_US
dc.subjectOptic Nerve Sheath Diameteren_US
dc.subjectUltrasounden_US
dc.subjectAirwayen_US
dc.titleAssessment of intracranial pressure with ultrasonographic measurement of optic nerve sheath diameter on patients undergoing suspension direct laryngoscopyen_US
dc.typeArticleen_US

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