显微喉镜检查中困难喉暴露的预测：一项范围综述

文献信息

中文摘要

目的： 对显微喉镜检查（MLS）中困难喉暴露（DLE）的预测进行范围综述。目的是确定用于预测经口暴露的有效预测评分系统或参数。
方法： 在PubMed和Scopus中进行了全面检索，最终检索于2024年12月19日进行。纳入评估MLS中DLE术前预测因素的研究，前提是这些研究报告了准确性指标。排除非英语研究、数据不足的研究以及样本量<5例患者的研究。
结果： 共分析了16项研究。常见的预测因素包括体重指数、颈围、切牙间距、颏甲距离、牙齿状况以及改良Mallampati指数。诸如Laryngoscore和mini-Laryngoscore等评分系统显示出前景，但外部验证结果不一。
结论： MLS的DLE预测仍不成熟。经过验证的预测工具可通过确保有效暴露来改善患者选择、缩短手术时间并优化肿瘤学结局。需要进一步研究以建立稳健的预测模型。

英文摘要

OBJECTIVE: To conduct a scoping review on difficult laryngeal exposure (DLE) prediction in microlaryngoscopy (MLS). The aim was to identify effective predictive scoring systems or parameters for predicting transoral exposure.
METHODS: A comprehensive search was conducted in PubMed and Scopus, with the final search performed on December 19th, 2024. Studies assessing preoperative predictors of DLE in MLS were included if they reported accuracy measures. Studies not in English, with insufficient data, and with sample size < 5 patients were excluded.
RESULTS: Sixteen studies were analysed. Common predictors included body mass index, neck circumference, inter-incisor gap, thyromental distance, dental status, and the modified Mallampati index. Scoring systems like the Laryngoscore and the mini-Laryngoscore showed promise but varied in external validation.
CONCLUSIONS: DLE prediction for MLS remains underdeveloped. Validated predictive tools could improve patient selection, reduce operative times, and optimise oncological outcomes by ensuring effective exposure. Further research is needed to establish robust predictive models.