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4 results

  • Chapter 31 - Anesthesia for therapeutic bronchoscopic procedures
  • from Section 5 - Anesthesia for bronchoscopic surgery
  • Edited by Basem Abdelmalak, John Doyle
  • Book: Anesthesia for Otolaryngologic Surgery
  • Published online: 05 November 2012
  • Print publication: 18 October 2012, pp 309-320
  • View abstract

    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.
  • Chapter 30 - Anesthesia for diagnostic bronchoscopic procedures
  • from Section 5 - Anesthesia for bronchoscopic surgery
  • Edited by Basem Abdelmalak, John Doyle
  • Book: Anesthesia for Otolaryngologic Surgery
  • Published online: 05 November 2012
  • Print publication: 18 October 2012, pp 297-308
  • View abstract

    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.