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Chapter 30 - Anesthesia for diagnostic bronchoscopic procedures
from Section 5 - Anesthesia for bronchoscopic surgery
- By Basem Abdelmalak, Mona Sarkiss
Edited by Basem Abdelmalak, John Doyle
Book:

Anesthesia for Otolaryngologic Surgery

Published online:

05 November 2012

Print publication:

18 October 2012, pp 297-308
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Summary

The paired parotid glands are the largest among the three major salivary glands in the human body. The parotid gland is encapsulated between the superficial and deep layers of the parotid gland fascia (PGF). This chapter discusses the surgical treatment and anesthesia of sialolithiasis. Airway management after parotidectomy with radical neck dissection can be a challenging situation due to aggravating factors like previous neck interventions, radiation therapy, large fluid shift, intraoperative airway manipulation, swollen tissue and residual anesthetic effect. Ductal stone formation and ductal stenosis are common causes of obstructive salivary diseases of the parotid glands. Sufficient anesthetic depth and patient immobility are usually achieved by a balanced anesthetic technique employing relatively large doses of opioid and inhalational agents. Light anesthesia and patient movement lead to serious complications, especially in the absence of neuromuscular blockade.