Abstract
Purpose
Naso-endoscopy, inspect the entire nasal cavity (NC) to objectively identify a clearer NC, however, being invasive it is uncomfortable to patients. Hence, a non-invasive alternative is required, which objectively identifies clearer NC. Nasal MRI is a non-invasive alternative technique that precisely and objectively recognizes a clearer NC. Hence, this study was planned to find the utility and reliability of MRI for the identification of clearer NC.
Methods
In this prospective observational study, Cohen's kappa interrater agreement with linear weights test was used to assess the reliability of MRI assessment in assigning clearer NC by finding the agreement between MRI and naso-endoscopy for the identification of clearer NC. As smooth negotiation through the assigned clearer NC, predicts the actual success of an assessment technique perfectly. So, the agreement between MRI assigned clearer NC with ultimate NC of tube negotiation was evaluated.
Results
We found an excellent agreement between the MRI and naso-endoscopy for the identification of clearer NC (ĸ = 0.91, 95%CI 0.83–0.97). Similarly, excellent agreement was found for MRI classified clearer NC and the NC through which tube was ultimately negotiated (k = 0.97, 95%CI 0.93–1.00).
Conclusion
We found nasal MRI as a useful assessment technique that objectively identifies a clearer NC and eases out tube negotiation.
Trial Registration and Date
NCT03675698 and 09/17/2018.
Similar content being viewed by others
References
Smith JE, Reid AP (2001) Identifying the more patent nostril before nasotracheal intubation. Anaesthesia 56:258–262
Hall CEJ, Shutt LE (2003) Nasotracheal intubation for head and neck surgery. Anaesthesia 58:249–256
Chi SI, Park S, Joo LA, Shin TJ, Kim HJ, Seo KS (2016) Identifying the more suitable nostril for nasotracheal intubation using radiographs. J Dent Anesth Pain Med 16:103–109
Thongrong C, Thaisiam P, Kasemsiri P (2018) Validation of simple methods to select a suitable nostril for nasotracheal intubation. Anesthesiol Res Pract. https://doi.org/10.1155/2018/4910653
Prasanna D, Bhat S (2014) Nasotracheal Intubation: An Overview. J Maxillofac Oral Surg 13:366–372
Smith JE, Reid AP (1999) Asymptomatic intranasal abnormalities influencing the choice of nostril for nasotracheal intubation. Br J Anaesth 83:882–886
Nushrath AA, Tong JL, Smith JE (2008) Pathways through the nose for nasal intubation: a comparison of three endotracheal tubes. Br J Anaesth 100:269–274
Kim HJ, Roh Y, Yun SY, Park WK, Kim HY, Lee MH et al (2021) Comparison of the selection of nasotracheal tube diameter based on the patient’s sex or size of the nasal airway: a prospective observational study. PLoS ONE 16:e0248296
Chua E, Navaratnam AV, St Leger D, Lam V, Unadkat S, Weller A (2021) Comparison of MRI and CT in the evaluation of unilateral maxillary sinus opacification. Radiol Res Pract 9:5313196. https://doi.org/10.1155/2021/5313196
Hyerim K, Jung-Man L, Jiwon L, Jin-Young H, Jee-Eun C, Hyun-Joung N et al (2018) Influence of nasal tip lifting on the incidence of the tracheal tube pathway passing through the nostril during nasotracheal intubation: a randomized controlled trial. Anesth Analg 127:1421–1426
Purysko AS, Bittencourt LK, Bullen JA, Mostardeiro TR, Herts BR, Klein EA (2017) Accuracy and interobserver agreement for prostate imaging reporting and data system, version 2, for the characterization of lesions identified on multiparametric MRI of the prostate. Am J Roentgenol 209:339–349
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
There are no conflict of interest of authors. We disclose that the authors are not directly or indirectly related to the financial relationship related to the work submitted for publication within the last 3 years of beginning the work.
Research involving Human Participants and/or Animals
Human participants are involved in this study.
Informed consent
Informed consent was taken from all participants.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Mittal, A.K., Kumar, V., Kumar, S. et al. To Assess the Utility of Nasal Magnetic Resonance Imaging in Identifying Clearer Nasal Cavity During Pre-operative Nasal Cavity Assessment. J. Maxillofac. Oral Surg. (2022). https://doi.org/10.1007/s12663-022-01827-x
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s12663-022-01827-x