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Doody's Review ServiceReviewer: Gita Rupani, M.D.(University of Chicago Pritzker School of Medicine)
Description: A history of dental anesthesia begins this book, before it delves into anatomy, imaging, and airway management for dental procedures, surgical procedures of the head and neck, and trauma patients in the emergency room.
Purpose: Anesthesia for maxillofacial surgery is always a source of anxiety to the anesthesiologist until the surgeon has discussed the plan for the approach and addressed airway concerns, and the patient has been evaluated. This book has a lot of information that will interest not only anesthesiologists, but also surgeons and nursing personnel involved in postoperative management of these patients.
Audience: Because of the range of information this book has related to head and neck surgery, airway management in special scenarios, anatomy, sensory and motor innervation, and headache, this book is useful to a variety of clinicians, including residents in training, anesthesia nurses, interventional pain practitioners, and postoperative care unit nurses.
Features: This book organizes the information well so that is readily available to anesthesiologists who will be called on for anesthesia for head and neck procedures. It offers well written chapters on preassessment, followed by chapters on airway management, which cover the available options very well but could be illustrated better with algorithms. Several chapters focus on anesthesia for dental surgery, aesthetic surgery, and conscious sedation for these procedures. Anesthesiologists nowadays are involved in management of chronic pain. The chapters on innervation and orofacial pain offer a good review of orofacial anatomy that many pain practitioners will find helpful. The chapters that address implications for anesthesiologists in imaging, maxillofacial infections, and thermal injuries have valuable information and pictures. The chapter on anesthesia for oral and maxillofacial malignancy describes well types of flaps, the physiology of microcirculation, and anesthetic concerns.Readers will find comprehensive current information in this book and, although there is some overlap, it is likely unavoidable in a multiauthored book.
Assessment: This is an excellent resource for anesthesiologists to help them understand surgical procedures and anesthesia concerns in patients undergoing oral and maxillofacial surgery. It also addresses intraoperative management details like fluid management, positioning, and postoperative swelling. I was particularly impressed with the illustrations and details of anatomical innervation of the head and neck and orofacial pain management. This book will make a valuable addition to the anesthesia library. Readers will learn to anticipate and plan for intraoperative and postoperative management.