Hippokratia
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Head and neck surgery is considered high-risk for difficult intubation and accidental extubation. Laryngomicroscopy implies surgical manipulations at the level of the vocal cords. Also, this type of surgery demands a particular position for the patient during the whole surgical intervention. All of this makes accidental extubation even more possible. ⋯ Modified Mallampati score and IIG are considered valuable parameters for rapid preoperative risk assessment of possible accidental extubation. The final depth of the endotracheal tube should be about two cm deeper than necessary, as long as there is adequate ventilation on both sides of the lungs. Difficult intubation undoubtedly represents a risk for accidental extubation occurrence. HIPPOKRATIA 2023, 27 (4):141-147.