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Chapter 23 - Anesthesia for face transplantation

from Section 3 - Anesthesia for head and neck surgery

Published online by Cambridge University Press:  05 November 2012

By
Jacek B. Cywinski ,
Thomas Edrich  and
D. John Doyle
Edited by
Basem Abdelmalak  and
John Doyle
Basem Abdelmalak
Affiliation:
Cleveland Clinic Foundation
John Doyle
Affiliation:
Cleveland Clinic Foundation
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Summary

This chapter outlines anesthetic considerations for face transplantation procedure based on the experience of two hospitals where the first face transplants in the United States took place as well as preliminary data from three international centers (personal communication). Careful examination of a patient's airway is critical since it dictates intraoperative airway management plan. The goals and principles of intraoperative fluid management in face transplantation are similar to any other long surgical procedure involving micro-vascular free flaps. Airway management in cases where the composite graft involves maxillary or mandibular structures may present a significant challenge: the forces associated with direct laryngoscopy for intubation could conceivably cause damage to incompletely healed bony structures. The duration and complexity of the face transplant operation requires participation of multiple teams, including more than one anesthesia team.

Keywords

neck dissectionneck radiationsystolic blood pressurelaryngectomylaryngeal canceranesthesia
Type
Chapter
Information
Anesthesia for Otolaryngologic Surgery , pp. 220 - 227
Publisher: Cambridge University Press
Print publication year: 2012

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