Perioperative Management of Patients with Craniomaxillofacial Trauma

Tzu-Hsuan Cheng; Matthew Mendelsohn; Radhika Patel; Samrat Worah; Sydney C Butts

doi:10.1016/j.otc.2023.05.015

Perioperative Management of Patients with Craniomaxillofacial Trauma

Otolaryngol Clin North Am. 2023 Dec;56(6):1069-1078. doi: 10.1016/j.otc.2023.05.015. Epub 2023 Jul 4.

Authors

Tzu-Hsuan Cheng¹, Matthew Mendelsohn², Radhika Patel³, Samrat Worah¹, Sydney C Butts⁴

Affiliations

¹ Department of Anesthesiology, State University of New York-Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
² Department of Otolaryngology, State University of New York-Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
³ State University of New York-Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
⁴ Department of Otolaryngology, State University of New York-Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USA; Division of Facial Plastic Surgery, Department of Otolaryngology, Kings County Hospital Center, Brooklyn, NY, USA. Electronic address: [email protected].

PMID: 37414655
DOI: 10.1016/j.otc.2023.05.015

Abstract

Successful surgical management of patients with facial fractures requires a detailed preoperative evaluation and postoperative management that differs from elective surgical patients. This review presents evidence-based recommendations from the surgical and anesthesiology literature that address many of the clinical questions that arise during the perioperative management of this group of patients. Surgeons and anesthesiologists must work together at numerous points and make joint decisions, especially where airway and pain management challenges may arise. The multidisciplinary nature of the decision-making process is emphasized.

Keywords: Difficult airway management; Facial fracture complications; Postoperative pain management; Substance abuse; Urine toxicology screen.

Publication types

Review

MeSH terms

Anesthesiologists
Anesthesiology*
Elective Surgical Procedures
Humans
Pain Management
Preoperative Care*