scholarly journals Olfactory Dysfunction After Oral and Maxillofacial Surgery

2021 ◽  
Author(s):  
Yaxi Wang ◽  
Hua Li ◽  
Xuanping Huang ◽  
Nuo Zhou
Keyword(s):  
General Anesthesia ◽  
Nasal Septum ◽  
Rare Complication ◽  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Olfactory Dysfunction ◽  
Oral And Maxillofacial Surgery ◽  
General Anesthetic ◽  
Anesthetic Drugs ◽  
Nasal Septum Deviation

Abstract Background: Although anesthesia can contribute to olfactory dysfunction, it is a rare complication after oral and maxillofacial surgery by general anesthesia.Cases presentation: In this study, we introduced 3 cases of patient suffering from anosmia (complete loss of smell), after oral and maxillofacial surgery by general anesthesia. We also investigated possible etiologies of anosmia. Conclusions: There are some evidences that anosmia is caused by nasotracheal intubation, which may cause OM injury and/or swing of the nasal septum in patients with nasal septum deviation. Olfactory dysfunction via general anesthetic drugs, however, may have a different etiology.

scholarly journals Junctional Rhythm Preoperatively and During General Anesthesia for Oral and Maxillofacial Surgery

2017 ◽  
Vol 64 (3) ◽  
pp. 165-167 ◽  
Author(s):  
Naotaka Kishimoto ◽  
Ikue Kinoshita ◽  
Yoshihiro Momota
Keyword(s):  
General Anesthesia ◽  
Local Anesthesia ◽  
Anesthetic Management ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Anesthesia Induction ◽  
Sagittal Split Ramus Osteotomy ◽  
Junctional Rhythm ◽  
Appropriate Treatment ◽  
Slow Heart Rate

We report a case of junctional rhythm that occurred both preoperatively and later during a portion of general anesthesia. A 19-year-old woman was scheduled to undergo bilateral sagittal split ramus osteotomy after being diagnosed with a jaw deformity. Preoperative electrocardiography (ECG) revealed a junctional rhythm with a slow heart rate (HR). At 90 minutes after anesthesia induction, local anesthesia with 10 mL of 1% lidocaine and 1:100,000 adrenaline was administered. A junctional rhythm appeared 15 minutes after the local anesthesia. We believe that the atrioventricular nodal pacemaker cells accelerated because of the increased sympathetic activity due to the adrenaline. On the preoperative ECG, the junctional rhythm with slow HR appeared as an escaped beat caused by slowing of the primary pacemaker. Therefore, we think that the preoperative junctional rhythm and the junctional rhythm that appeared during general anesthesia were due to different causes. Understanding the cause of a junctional rhythm could lead to more appropriate treatment. We therefore believe that identifying the cause of the junctional rhythm is important in anesthetic management.

scholarly journals Modified Retrograde Nasal Intubation: A New Airway Technique and Devices

2021 ◽  
Vol 68 (2) ◽  
pp. 107-113
Author(s):  
Vernon H. Vivian ◽  
Dip Anaes ◽  
Tyson L. Pardon ◽  
Andre A. J. Van Zundert
Keyword(s):  
Clinical Practice ◽  
Laryngeal Mask Airway ◽  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Oral Route ◽  
Oral And Maxillofacial Surgery ◽  
Nasal Intubation ◽  
Novel Technique ◽  
Materials Used ◽  
Airway Devices

Nasotracheal intubation remains an underused but invaluable technique for securely managing the airway during oral and maxillofacial surgery. In this article, we present a modified clinical technique that allows for the potential introduction into clinical practice of 2 new airway devices: a nasal laryngeal mask airway and an interchangeable oral/nasal endotracheal tube. We hypothesize that with the use of proper techniques, these devices can add new and safer alternatives for securing an airway by the nasal route. The advantage of this novel technique is that the airway is secured by the oral route prior to performing a modified retrograde nasal intubation, eliminating the danger of profuse epistaxis precipitating a “cannot intubate, cannot ventilate” scenario. In addition, the design and materials used in the components of the devices may minimize trauma. The authors aim to inform clinicians about the indications, physical characteristics, and insertion/removal techniques related to these new devices.

scholarly journals Comparative analysis of features of chronic maxillary sinusitis of various genesis

2019 ◽  
Vol 9 (33) ◽  
pp. 27-33
Author(s):  
Aleksandre Kobakhidze ◽  
Elena Merkulova ◽  
Natalia Gvozdeva ◽  
Dilyana Vicheva
Keyword(s):  
Nasal Septum ◽  
Chronic Sinusitis ◽  
Maxillary Sinusitis ◽  
Maxillofacial Surgery ◽  
Treatment Strategies ◽  
Cone Beam ◽  
Oral And Maxillofacial Surgery ◽  
Ethmoid Bone ◽  
Ostiomeatal Complex ◽  
Chronic Maxillary Sinusitis

Abstract BACKGROUND. There are not many works devoted to the structures of a nasal cavity in odontogenic maxillary sinusitis and to a condition of an alveolar ridge of the maxilla with a rhinogenous genesis of the disease. MATERIAL AND METHODS. 100 patients (N) with chronic sinusitis hospitalized at the ENT (N=50) and Oral and Maxillofacial Surgery (N=50) Departments were examined. The character of anatomic options of a nasal septum in chronic maxillary sinusitis is estimated according to a cone-beam computed tomography (CBCT) with use of our own developed scheme of coordinates in the form of “triangles” which allows establishing versions of the block of the ostiomeatal complex and nasal septum deviation. RESULTS. In cases of rhinogenous and odontogenic causes of maxillary sinusitis, the triangle deviation is detected more often, including a perpendicular plate of the ethmoid bone, the vomer and the quadrangular cartilage, contributing to the block of the ostiomeatal complex. This scheme has allowed us to establish a group of patients with the mixed genesis of maxillary sinusitis in the Otorhinolaryngology and MFS Departments (36% and 42% respectively) and that, in its turn, requires a cross-disciplinary approach when choosing a strategy of treatment. CONCLUSION. In case of rhinogenous genesis of the disease, the bilateral nature of the process with involvement of other paranasal sinuses in the inflammatory process is detected more often. The category of patients with mixed genesis (rhinogenous plus odontogenic) of sinusitis demands a cross-disciplinary approach to diagnosis and making a decision about treatment strategies.

scholarly journals Intubation concerns in maxillofacial trauma patients

2020 ◽  
Author(s):  
Kamran Khan ◽  
Jawaria Bibi ◽  
Muhammad Umar Qayyum
Keyword(s):  
Nasotracheal Intubation ◽  
Maxillofacial Surgery ◽  
Maxillofacial Trauma ◽  
Facial Trauma ◽  
Oral And Maxillofacial Surgery ◽  
Trauma Patients ◽  
Nasal Intubation ◽  
Trauma Centers ◽  
Dental Hospital ◽  
Low Rate

Introduction: In maxillofacial trauma the preferred intubation method for general anesthesia is nasotracheal intubation in most of the trauma centers. We conducted a retrospective study to review the utility of this method of intubation in maxillofacial trauma patients. We aimed to review the intra-operative and postoperative concerns and complications for nasotracheal intubation and effectiveness of this method of intubation in maxillofacial trauma patient. Methodology: This study included 56 patients of maxillofacial trauma, who were treated in our centre of Oral and Maxillofacial Surgery at Islamic International Dental Hospital, Islamabad in the period of two years, 1st January 2016 to 31st December 2017. Results: The study showed that nasal intubation is relatively more effective in isolated mandibular trauma patients. But there are difficulties regarding intubation in maxillary fractures and pan-facial trauma patients. Conclusion: Although nasotracheal method of intubation is difficult to attain in some cases, but still it is an effective method of intubation for majority of the maxillofacial trauma cases with very low rate of complications. Received: 30 Sep 2018Reviewed: 16 Nov 2018Accepted: 17 Nov 2018 Citation: Khan K, Bibi J, Qayyum MU. Intubation concerns in maxillofacial trauma patients Anaesth Pain & Intensive Care 2018;22 Suppl 1:S109-S112

Perioperative safety and complications in treatment of oral and maxillofacial surgery patients under general anesthesia with obstructive sleeping disorders

2018 ◽  
Vol 46 (9) ◽  
pp. 1609-1615 ◽  
Author(s):  
Evgeny Goloborodko ◽  
Ann Christina Foldenauer ◽  
Nassim Ayoub ◽  
Matthias Knobe ◽  
Stephan Christian Möhlhenrich ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Sleeping Disorders ◽  
Perioperative Safety
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