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Obesity, Weight Loss, and Perioperative Risk Assessment in Otolaryngology
Sunil K Sahai1, Vasu Sidagam2, Nidhi Singh3
1Section of Consultative Medicine, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
Obesity is associated with unique and compounding perioperative challenges in otolaryngologic surgery. This review summarizes evidence-based guidance on preoperative risk stratification, airway management, intraoperative anesthetic and ventilatory strategies, and procedure-specific postoperative care for patients with obesity undergoing otolaryngologic surgery, with emphasis on the emerging phenotype of sarcopenic obesity, the shared airway, and individualized monitoring frameworks.
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