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Ultrasound and Lip Bite Test for Predicting Difficult Airway in Obese Patients

Tests ultrasound measurements and a lip bite test to predict difficult intubation in obese adults.

Plain-language title generated from the registry record
Registry title: Combined Ultrasound and Upper Lip Bite Test Assessment of Difficult Laryngoscopy in Obese Patients

Key facts

Where
Cairo, EgyptSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 65 years old?

Source: NCT07642206, who can take part

Where in Egypt

  • Kasr Al-Ainy Hospital, Cairo UniversityCairo, EgyptNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Cairo University
Trial code
NCT07642206
Record updated
12 June 2026
Original description
The aim of this observational study is to evaluate the accuracy of the HMDR combined with the ULBT as a predictor of difficult laryngoscopy in obese patients undergoing elective surgery under general anesthesia, regarding:Read full original descriptionShow less

Ultrasound-Measured Hyomental Distance Ratio Combined With the Upper Lip Bite Test as a Predictor of Difficult Laryngoscopy in Obese Patients: A Prospective Observational Study

The aim of this observational study is to evaluate the accuracy of the HMDR combined with the ULBT as a predictor of difficult laryngoscopy in obese patients undergoing elective surgery under general anesthesia, regarding:

* Correlation of HMDR-ULBT values with Cormack-Lehane grades during laryngoscopy. * Comparison of HMDR-ULBT with standard HMDR in predicting difficult laryngoscopy.

Inclusion: Adult obese patients aged 18 to 65 years; Both sexes; American Society of Anesthesiologists (ASA) physical status II- III; Body Mass Index (BMI) ≥ 30 kg/m² (classified as obese); Scheduled for elective surgical procedures requiring general anesthesia with endotracheal intubation; Ability to understand and provide informed written consent; Cooperative and able to perform the ULBT on command; Normal dentition (presence of upper and lower incisors to perform ULBT accurately).

Exclusion: History of maxillofacial trauma, surgery, or congenital facial anomalies affecting mandibular movement or neck anatomy; Patients with limited neck mobility (e.g., cervical spine disease or immobilization); Temporomandibular joint disorders or restricted mandibular mobility; Known or suspected difficult airway requiring awake intubation; Pregnancy.

ClinicalTrials.gov NCT07642206