AI Article Synopsis
- Orthognathic surgery is often used to correct jaw issues and facial asymmetry, but it can be complicated by underlying syndromes that affect surgical and anesthesia management.
- This review analyzes important aspects of anesthesia management for these surgeries, focusing on airway management, bleeding control, and techniques to reduce postoperative complications like nausea and deep vein thrombosis.
- It concludes that thorough anesthesia planning and a team-oriented approach are crucial for improving patient recovery and outcomes, especially for more complex cases.
Article Abstract
Background: Orthognathic surgery is commonly performed to correct malocclusion and facial asymmetry, typically in young and healthy patients. However, it's crucial to recognize that facial deformities can also be features of various syndromes, complicating the surgical and anesthetic management.
Material And Methods: This review examines the key factors influencing anaesthesia management in orthognathic surgery patients. The perioperative care process was analyzed, focusing on the surgical procedure, airway management, and anaesthesia techniques. Additional factors considered include bleeding control, postoperative nausea and vomiting (PONV), antibiotic prophylaxis, analgesia, and deep venous thrombosis (DVT) prevention.
Results: The review highlighted the critical role of comprehensive anaesthesia management in determining the outcomes of orthognathic surgery. Proper airway management, effective bleeding control, and the prevention of PONV and DVT were identified as significant factors in optimizing patient recovery. The use of protocols and a multidisciplinary approach were emphasized as essential in minimizing complications and improving postoperative outcomes.
Conclusions: Comprehensive and carefully planned anesthesia management is vital for the success of orthognathic surgery. Employing a multidisciplinary approach and adhering to established protocols can enhance patient outcomes and expedite recovery, especially in cases involving complex syndromic patients.
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| http://dx.doi.org/10.4317/medoral.26833 | DOI Listing |
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