Anaesthesia for cosmetic and functional maxillofacial surgery

Beck, James I; Johnston, Kevin

doi:10.1093/bjaceaccp/mkt027

Cited by 13 publications

(10 citation statements)

References 11 publications

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“…Hence, consideration should be given to awake fiberoptic intubation if there are concerns. 4,[11][12][13] Fiberoptic and video-assisted devices are some of the modalities that can be used, especially in children with limited mouth opening, like in patients with Pierre Robin syndrome. 14 This study also compared the time taken by various routes to assess the ease of the intubation.…”

Section: Discussionmentioning

confidence: 99%

“…Fiberoptic nasotracheal intubation is the most preferred route in patients with predictable difficult airways as a result of severe malocclusion or patients presenting for orthognathic surgery or with severe TMJ pathology. 3 4…”

Section: Introductionmentioning

confidence: 99%

“…2 Fiberoptic nasotracheal intubation is the most preferred route in patients with predictable difficult airways as a result of severe malocclusion or patients presenting for orthognathic surgery or with severe TMJ pathology. 3,4 This study aims to document and analyze the various routes of intubations used on patients undergoing maxillofacial surgeries as a result of trauma, pathologies, orthognathic surgeries, or rehabilitative surgeries, so as to ease the decision-making between the surgeon and the anesthesiologist and to build a better rapport.…”

Section: Introductionmentioning

confidence: 99%

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Various Intubations in Oral and Maxillofacial Surgery: A Prospective Study

Koushik

Singh

Kumar

et al. 2022

Dental Journal of Advance Studies

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Aim The aim of this study was to determine various routes of intubations in patients, based on the type of facio-maxillary procedures planned. Methods and Material A prospective study in patients undergoing various oral and maxillofacial procedures between March 2021 and December 2021, who were included in the study based on the inclusion and exclusion criteria. Statistical Analysis Used Descriptive statistical analysis with SPSS 26 software. Results Total 33 cases were considered for the study among which it is seen that nasal intubation is the most commonly used route of intubation (n = 23; 69.7%) followed by oral (n = 5; 15.2%), fiberoptic (n = 3; 9.1%), submental (n = 1; 3%), and tracheostomy (n = 1; 3%). Most cases operated were of trauma (n = 19; 57.6%). Conclusions For better surgical access and visibility, proper selection of route of intubation is necessary given its proximity to the site of surgery. Although nasal route is the most commonly used route in the field of oral and maxillofacial surgery, oral, submental, fiberoptic, and tracheostomy are some of the routes whose application needs to be further researched.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Various Intubations in Oral and Maxillofacial Surgery: A Prospective Study

Koushik

Singh

Kumar

et al. 2022

Dental Journal of Advance Studies

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“…Nevertheless, blindness due to direct effect of DH should not be taken into consideration [32]. Moreover, skin necrosis due to DH in orthognathic surgery were reported [15,19]. It is crucial to consider that hypotensive agent may cause local ischemia and protective measurements must be applied prior to the adverse outcome.…”

Section: Methodsmentioning

confidence: 99%

“…Due to rich blood supply in orofacial region controlled hypotensive anaesthesia is commonly applied in maxillofacial surgery, in order to reduce the bleeding and improve the visibility of the surgical field. Indications for applying DH depends on the type of surgery, for instance, Le Fort I osteotomy, genioplasty, bi-maxillary surgery, sagittal split of the mandible and the mandibular symphysis osteotomy are associated with DH application more frequently in comparison with other surgical procedures [15].…”

Section: Introductionmentioning

confidence: 99%

Hypotensive Anaesthesia in Maxillofacial Surgery

Jackevičiūtė¹,

Kraujalytė²,

Razukevičius³

et al. 2018

Public Health

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Introduction. Deliberate hypotension (DH) is a widely used anaesthesia technique for decreasing intraoperative bleeding and improving the visibility of the operating field. Orofacial region has rich blood supply, therefore adequate bleeding management is needed. Methods. A literature search was performed using the search terms and was limited to English language. We used specific databases for our literature search. Discussion. The positive effect of DH is associated with mechanism of action leading to reduction of blood loss and reduced blood transfusion rate, accompanied by proper pain management. However, adverse effects are distinguishable, although the presentation completely depends on the hypotensive anaesthetic used for induction of DH. Conclusion. The application of controlled hypotension in maxillofacial surgery is highly advisable. Despite the positive effects, constant monitoring of the vital signs and drug induced side effects in perioperative period is needed.

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Perioperative Considerations and Anaesthesia for Orthognathic Surgery

Blyth¹,

Devic²

2016

Orthognathic Surgery

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Anaesthesia for cosmetic and functional maxillofacial surgery

Cited by 13 publications

References 11 publications

Various Intubations in Oral and Maxillofacial Surgery: A Prospective Study

Various Intubations in Oral and Maxillofacial Surgery: A Prospective Study

Hypotensive Anaesthesia in Maxillofacial Surgery

Perioperative Considerations and Anaesthesia for Orthognathic Surgery

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