# Comprehensive anaesthesia management strategies for orthognathic surgical procedure

## TL;DR

This review discusses how proper anesthesia strategies are essential for successful orthognathic surgery, especially in patients with complex conditions.

## Contribution

The paper emphasizes a multidisciplinary and protocol-driven approach to anesthesia management in orthognathic surgery.

## Key findings

- Effective airway management and bleeding control are crucial for positive surgical outcomes.
- Preventing PONV and DVT significantly improves patient recovery after surgery.
- Multidisciplinary care and established protocols reduce complications in complex cases.

## Abstract

Orthognathic surgery is commonly performed to correct malocclusion and facial asymmetry, typically in young and healthy patients. However, it's crucial to recognize that facial deformities can also be features of various syndromes, complicating the surgical and anesthetic management.

This review examines the key factors influencing anaesthesia management in orthognathic surgery patients. The perioperative care process was analyzed, focusing on the surgical procedure, airway management, and anaesthesia techniques. Additional factors considered include bleeding control, postoperative nausea and vomiting (PONV), antibiotic prophylaxis, analgesia, and deep venous thrombosis (DVT) prevention.

The review highlighted the critical role of comprehensive anaesthesia management in determining the outcomes of orthognathic surgery. Proper airway management, effective bleeding control, and the prevention of PONV and DVT were identified as significant factors in optimizing patient recovery. The use of protocols and a multidisciplinary approach were emphasized as essential in minimizing complications and improving postoperative outcomes.

Comprehensive and carefully planned anesthesia management is vital for the success of orthognathic surgery. Employing a multidisciplinary approach and adhering to established protocols can enhance patient outcomes and expedite recovery, especially in cases involving complex syndromic patients.

Key words:Anaesthesia management, orthognathic surgery, malocclusion.