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CTRI Number  CTRI/2025/01/079147 [Registered on: 21/01/2025] Trial Registered Prospectively
Last Modified On: 20/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   ASSESSMENT BETWEEN MEASUREMENT OF JAW MOVEMENT BY ULTRASOUND GUIDED & CONVENTIONAL TECHNIQUES IN PREDICTING DIFFICULTY IN INTUBATION 
Scientific Title of Study   CLINICAL ASSESSMENT BETWEEN MEASUREMENT OF MANDIBULAR CONDYLAR MOBILITY (USG GUIDED) VERSUS MAXIMUM CONDYLE - TRAGUS DISTANCE IN PREDICTING DIFFICULT LARYNGOSCOPY 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Varsha M 
Designation  Junior Resident in Department of Anaesthesiology 
Affiliation  Gandhi Medical College, Bhopal 
Address  Operation Theatre, 2nd floor, Department of Anaesthesiology, Hamidia hospital, Gandhi Medical College, Bhopal

Bhopal
MADHYA PRADESH
462001
India 
Phone  7356669628  
Fax    
Email  varshamanal96@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Surendra K Raikwar 
Designation  Professor 
Affiliation  Gandhi Medical College, Bhopal 
Address  Operation Theatre, 2nd floor, Department of Anaesthesiology, Hamidia hospital, Gandhi Medical College, Bhopal

Bhopal
MADHYA PRADESH
462001
India 
Phone  9406533300  
Fax    
Email  drskraikwar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neelesh Nema 
Designation  Assistant Professor 
Affiliation  Gandhi Medical College, Bhopal 
Address  Operation Theatre, 2nd floor, Department of Anaesthesiology, Hamidia hospital, Gandhi Medical College, Bhopal

Bhopal
MADHYA PRADESH
462001
India 
Phone  09893427372  
Fax    
Email  neeleshnema@yahoo.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Gandhi Medical College, Bhopal, Madhya Pradesh, India 462001 
 
Primary Sponsor  
Name  Gandhi Medical College 
Address  Gandhi Medical College, Bhopal, Madhya Pradesh, 462001 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Varsha M  Gandhi Medical College, Bhopal  Operation Theatre, 2nd floor, Department of Anaesthesiology, Hamidia hospital, Gandhi Medical College, Bhopal
Bhopal
MADHYA PRADESH 
07356669628

varshamanal96@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Gandhi Medical College, Bhopal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  persons who are undergoing surgeries under general anaesthesia at Gandhi Medical College Bhopal 
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Age 18-65 years
2. ASA Grade I & II
3. Patients scheduled for tracheal intubation under general anaesthesia 
 
ExclusionCriteria 
Details  1 Patients with maxillofacial trauma or malformation
2 Patients with maxillofacial oral or tongue cancer
3 Patients with laryngeal and tracheal neck tumor compression
4 Patients with BMI more than 30
5 Patients with history of previous difficult intubations
6 Uncooperative patients
7 Patient with asymmetric movement of TMJ joint
8 Bearded patients
9 Patients with age less than 18 years & more than 65 years
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1 USG guided measurement of mandibular condylar mobility using high
frequency linear array ultrasound probe
2 Conventional measurement of Maximum Condyle Tragus distance measured
using examiners finger
3 Cormack-Lehane grading will be measured during laryngoscopy without
external manipulation  
Before induction till during the procedure 
 
Secondary Outcome  
Outcome  TimePoints 
1 Inter Incisor Gap measurement
2 Upper Lip Bite Test grading
3 Mandibular Protrusion Distance grading
 
Before induction till during the procedure 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/01/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="1"
Days="10" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary              Pre operative airway assessment is a crucial step in airway management. There is no single parameter which has maximum accuracy in this perspective. There are many studies in this field to explore different parameters for this purpose. Using USG measurments particularly to measure mandibular condylar mobility adds a sophisticated dimension to predicting laryngoscopy. 
           By comparing the efficacy of USG guided measurements with conventional parameters like Maximum condyle tragus distance, Upper Lip Bite Test, Inter Incisor Gap and Mandibular Protrusion Distance, this study helps to find the most reliable indiactors for anticipating a difficult airway. This approach could potentially improve preoperative assessmnet, making airway management safer and more efficient.
 
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