bandage-green

Facial Fracture Fixation (Zygomatic, Orbital and Maxillary)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked, head turned
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : PONV, Aspiration risk / Full stomach, Oculocardiac Reflex, Throat Pack, Intermaxillary Fixation

Anesthetic Approaches

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

Exposure - small incisions in the upper eyelid, the lower lid or conjunctiva, the eyebrow and inside the mouth give access to the fracture points without a visible facial scar. Reduction - the...

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