[Anesthesiological problems in maxillo-facial surgical interventions and reconstructive plastic surgery]

Area of Science:

• Anesthesiology
• Maxillofacial Surgery
• Reconstructive Plastic Surgery

Background:

• A review of 11 years of anesthesiological experience in maxillofacial and reconstructive plastic surgery.
• Examination of problems associated with these surgical procedures.

Purpose of the Study:

• To analyze critical anesthesiological parameters in maxillofacial and reconstructive plastic surgery.
• To evaluate the efficacy of different airway management techniques and postoperative care strategies.

Main Methods:

• Review of anesthesiological practices from 1966 to 1977.
• Analysis of patient cases involving naso-tracheal and oro-tracheal intubation.
• Discussion of local anesthesia versus general anesthesia in maxillofacial surgery.

Main Results:

• Identified 5 key parameters: airway control, bleeding management, postnarcotic complications, postoperative edema, and patient nutrition.
• Demonstrated the effectiveness of naso-tracheal intubation in over a thousand cases.
• Highlighted the benefits of prolonged postoperative intubation as an alternative to tracheostomy in many cases.

Conclusions:

• Tracheostomy is now exceptional, not routine, for postoperative airway management in maxillofacial surgery.
• Optimized airway control and postoperative care significantly improve patient outcomes.
• Anesthesiological management is crucial for successful maxillofacial and reconstructive plastic surgery.