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Chapter 22 - Anesthesia for maxillary, salivary gland, mandibular and temporomandibular joint surgery

from Section 3 - Anesthesia for head and neck surgery

Published online by Cambridge University Press:  05 November 2012

Basem Abdelmalak
Affiliation:
Cleveland Clinic Foundation
John Doyle
Affiliation:
Cleveland Clinic Foundation
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Summary

This chapter focuses on non-traumatic maxillary procedures and endoscopic maxillary sinus surgery. Successful surgery involves open dialog between the anesthesiologist, ENT surgeon, and at times the plastic surgeon. Salivary gland resection poses technical challenges to both the surgeon and the anesthesiologist. The anesthetic management of these procedures mainly involves preservation of motor function of the face. Salivary gland resection is an example of the integrated efforts of both surgeon and anesthesiologist. The chapter focuses on the surgery of the mandible and temporomandibular joint (TMJ). Surgery for the mandible can range from biopsy to radical mandibular resection. An example of an anesthetic management for reconstructive mandibular cancer surgery is discussed in the chapter. TMJ arthroscopy is an effective minimally invasive technique to reduce pain and improve the mandibular range of motion that can be done safely on an outpatient basis.
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Publisher: Cambridge University Press
Print publication year: 2012

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