bandage-green

Facial Feminization Surgery and Tracheal Shave

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, Bed turned 90 degrees, head slightly extended
Time : 4+ hours (very long)
Blood Loss : Very High (500+ ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Blocks : Scalp, Superficial Cervical Plexus
Considerations : High Blood Loss, PONV, Throat Pack, Intermaxillary Fixation

Anesthetic Approaches

1GETT, Nasal Rae
2GETT, Oral Rae
The Surgery

Coronal or pretrichial approach - the scalp is opened and the forehead degloved to expose the frontal bone, brow ridge and orbital rims; the anterior wall of the frontal sinus is removed, reshaped...

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