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Anesthetic management for orthognathic surgery under ERAS protocol: a narrative review
Ruikun Wang1, Yu Liu1, Wenwen Zhang2
1Department of Anesthesiology, Hospital of Stomatology, Jilin University, Changchun, China.
Frontiers in Oral Health
|June 15, 2026
Summary
Enhanced Recovery After Surgery (ERAS) protocols improve orthognathic surgery outcomes through optimized anesthesia management. Further research is needed for a standardized ERAS protocol to enhance patient recovery.
Area of Science:
- Anesthesiology
- Oral and Maxillofacial Surgery
- Perioperative Medicine
Background:
- Enhanced Recovery After Surgery (ERAS) protocols are increasingly implemented to optimize patient outcomes.
- Orthognathic surgery presents unique challenges for perioperative management.
- Anesthesia management is a critical component of ERAS protocols in complex surgical procedures.
Purpose of the Study:
- To review the evolution and implementation of ERAS protocols in orthognathic surgery.
- To analyze anesthesia management strategies within ERAS for orthognathic procedures.
- To identify evidence-based practices for improving patient recovery.
Main Methods:
- A narrative review of literature was conducted.
- Studies published from 1997 to the present on ERAS and anesthesia in orthognathic surgery were analyzed.
Main Results:
- ERAS protocols optimize perioperative care through multimodal anesthesia, controlled hypotension, and pain/nausea/inflammation management.
- ERAS can reduce opioid consumption, shorten hospital stays, and improve recovery.
- No universally adopted standardized ERAS protocol exists for orthognathic surgery.
Conclusions:
- ERAS protocols show promise for improving orthognathic surgery outcomes.
- Further research and a unified protocol with standardized anesthesia management are necessary.
- Multidisciplinary collaboration is essential for effective ERAS implementation.
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