Study to Find How Often and Why Intubation Is Difficult in Adults Having Surgery to Fix a Deviated Nasal Septum

What this Trial Is About

Nasal obstruction caused by a deviated nasal septum is a common condition that can contribute to breathing difficulties and is linked to obstructive sleep apnea syndrome OSAS. Patients with nasal obstruction often breathe through their mouths during sleep, which may narrow the airway and increase the risk of sleep-related breathing problems. This study aims to determine how often difficult airway situations occur during septoplasty surgery and to identify factors that can predict such challenges, improving patient safety during anesthesia. The research is an observational prospective cohort study involving patients aged 18 to 65 undergoing septoplasty under general anesthesia due to nasal obstruction from a deviated septum. Standard anesthesia protocols will be followed, including specific medications and intubation procedures. Difficult intubation will be assessed using the Cormack-Lehane scale, with additional steps such as videolaryngoscope or laryngeal mask airway use if necessary. Preoperative assessments will include airway evaluation using the LEMON protocol and sleep apnea risk via the STOP-BANG questionnaire. Participants will undergo preoperative airway assessments and standard monitoring during surgery. Data on intubation difficulty, including number of attempts, use of tools like stylets, and airway management techniques, will be collected. The study will measure the airway difficulty using the Cormack-Lehane laryngeal view scale and track the success of intubation procedures. Participants safety will be monitored throughout, and no additional interventions beyond standard care will be administered. The study expects to complete by early 2027.

Determination of the Frequency and Predictors of Difficult Intubation in Septoplasty Operations