Anaesthetic experiences in orthodontic surgery.

Area of Science:

• Anesthesiology
• Oral and Maxillofacial Surgery

Background:

• Orthognathic surgery involves complex procedures with potential anesthetic challenges.
• Optimizing anesthetic management is crucial for patient safety and surgical success.

Purpose of the Study:

• To analyze anesthetic experiences and complications in 100 orthognathic operations.
• To identify strategies for preventing common anesthetic problems in this patient population.

Main Methods:

• Review of anesthetic records and outcomes for 100 orthognathic surgeries.
• Analysis of operating times, complications, and interventions.
• Evaluation of premedication, intubation techniques, and hypotension strategies.

Main Results:

• Adequate premedication and nasal decongestion via drops are vital.
• Armored nasal tubes require careful cuff leak monitoring; four tube changes were needed.
• Tachycardia was the most frequent complication, linked to inadequate premedication, analgesia, or hypotensive drug use.
• Controlled hypotension effectively reduced blood loss.
• Nasogastric tubes prevented postoperative vomiting for 6-8 hours.

Conclusions:

• Careful anesthetic planning, including premedication and appropriate airway management, is essential for orthognathic surgery.
• Strategies like controlled hypotension and nasogastric intubation can mitigate common complications.
• Major anesthetic complications were avoided in this series.