Neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at C3-4 and C4-5: a single-center retrospective case series
Abstract Airway compromise due to prevertebral soft tissue swelling is a potentially devastating complication following anterior cervical discectomy and fusion (ACDF). However, there are no studies on the postoperative patient posture for enhancing airway patency after ACDF. This study aimed to anal...
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Nature Portfolio
2024-12-01
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| Online Access: | https://doi.org/10.1038/s41598-024-83208-7 |
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| author | Jiwon Park Jin S. Yeom Ho-Joong Kim Jae-Young Hong Sang-Min Park |
| author_facet | Jiwon Park Jin S. Yeom Ho-Joong Kim Jae-Young Hong Sang-Min Park |
| author_sort | Jiwon Park |
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| description | Abstract Airway compromise due to prevertebral soft tissue swelling is a potentially devastating complication following anterior cervical discectomy and fusion (ACDF). However, there are no studies on the postoperative patient posture for enhancing airway patency after ACDF. This study aimed to analyze the effect of neck and mouth postures on airway patency following ACDF and to suggest the beneficial postoperative patient posture for improving airway patency. A retrospective review of 39 patients who underwent ACDF in C3 or C4 level was conducted. Airway diameter and prevertebral soft tissue thickness were measured in six different neck-mouth postures using lateral radiographs. The diameters of the airway and prevertebral soft tissues showed significant changes in relation to the neck postures and mouth openings after ACDF (P < 0.001). Regarding postures, neck extension with closed mouth posture showed significant wider airway diameter than that of the other postures (P < 0.001). Moreover, this posture showed the thinnest prevertebral soft tissues; however, it showed no significant difference compared to the neutral-closed and extension-open postures (P = 1.00 and P = 0.053). In conclusion, neck extension with a closed mouth significantly widened the airway diameter and reduced prevertebral soft tissue swelling, making it the best posture to maintain airway patency after ACDF. |
| format | Article |
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| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nature Portfolio |
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| spelling | doaj-art-aa1b1e5714154eae9d7908c5bb45ddb92024-12-29T12:18:13ZengNature PortfolioScientific Reports2045-23222024-12-011411910.1038/s41598-024-83208-7Neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at C3-4 and C4-5: a single-center retrospective case seriesJiwon Park0Jin S. Yeom1Ho-Joong Kim2Jae-Young Hong3Sang-Min Park4Department of Orthopedic Surgery, Korea University College of Medicine and Korea University Ansan HospitalSpine Center and Department of Orthopedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang HospitalSpine Center and Department of Orthopedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang HospitalDepartment of Orthopedic Surgery, Korea University College of Medicine and Korea University Ansan HospitalSpine Center and Department of Orthopedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang HospitalAbstract Airway compromise due to prevertebral soft tissue swelling is a potentially devastating complication following anterior cervical discectomy and fusion (ACDF). However, there are no studies on the postoperative patient posture for enhancing airway patency after ACDF. This study aimed to analyze the effect of neck and mouth postures on airway patency following ACDF and to suggest the beneficial postoperative patient posture for improving airway patency. A retrospective review of 39 patients who underwent ACDF in C3 or C4 level was conducted. Airway diameter and prevertebral soft tissue thickness were measured in six different neck-mouth postures using lateral radiographs. The diameters of the airway and prevertebral soft tissues showed significant changes in relation to the neck postures and mouth openings after ACDF (P < 0.001). Regarding postures, neck extension with closed mouth posture showed significant wider airway diameter than that of the other postures (P < 0.001). Moreover, this posture showed the thinnest prevertebral soft tissues; however, it showed no significant difference compared to the neutral-closed and extension-open postures (P = 1.00 and P = 0.053). In conclusion, neck extension with a closed mouth significantly widened the airway diameter and reduced prevertebral soft tissue swelling, making it the best posture to maintain airway patency after ACDF.https://doi.org/10.1038/s41598-024-83208-7ACDFAirway patencyPrevertebral soft tissue swellingPostureCervical spineAnterior discectomy |
| spellingShingle | Jiwon Park Jin S. Yeom Ho-Joong Kim Jae-Young Hong Sang-Min Park Neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at C3-4 and C4-5: a single-center retrospective case series Scientific Reports ACDF Airway patency Prevertebral soft tissue swelling Posture Cervical spine Anterior discectomy |
| title | Neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at C3-4 and C4-5: a single-center retrospective case series |
| title_full | Neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at C3-4 and C4-5: a single-center retrospective case series |
| title_fullStr | Neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at C3-4 and C4-5: a single-center retrospective case series |
| title_full_unstemmed | Neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at C3-4 and C4-5: a single-center retrospective case series |
| title_short | Neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at C3-4 and C4-5: a single-center retrospective case series |
| title_sort | neck extension with closed mouth position provides optimal airway patency after anterior cervical spine surgery at c3 4 and c4 5 a single center retrospective case series |
| topic | ACDF Airway patency Prevertebral soft tissue swelling Posture Cervical spine Anterior discectomy |
| url | https://doi.org/10.1038/s41598-024-83208-7 |
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