Anaesthesia for Oral and Maxillofacial Surgery

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Part of the Oxford Textbooks in Anaesthesia series, Anaesthesia for Oral and Maxillofacial Surgery is an authoritative, evidence based textbook on oral, dental, and maxillofacial surgery. Oral, dental, and maxillofacial surgery represents one of the most common indications for anaesthesia worldwide. The anaesthetist can be called upon to provide anaesthesia for patients presenting with impacted or carious teeth, infections of the mucosa and adjacent structures, facial injuries, head and neck cancers, salivary gland disease, facial disproportion, temporomandibular joint disorders, cysts, and tumours of the jaws. Anaesthetists may also be involved in managing patients experiencing chronic and intractable facial pain. An understanding of this subject matter is fundamental to the safe practice of anaesthesia. This book provides a comprehensive and detailed overview of all aspects of anaesthesia for oral and maxillofacial surgery. Designed for both consultants and trainees with an interest in this area, chapters cover the anatomy, pre-assessment, difficult airway, regional anaesthesia, imaging, and all clinical aspects for complex area.

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Editorial Reviews

Doody's Review Service
Reviewer: 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.
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Product Details

  • ISBN-13: 9780199564217
  • Publisher: Oxford University Press
  • Publication date: 9/3/2010
  • Pages: 432
  • Product dimensions: 7.60 (w) x 9.80 (h) x 1.00 (d)

Meet the Author

Dr Shaw was born and educated in Edinburgh, Scotland. Before studying medicine at Corpus Christi College, Cambridge University, he graduated with a First Class Honours degree in Pharmacology from the University of Bradford and was subsequently awarded a PhD by Cambridge University. He trained in anaesthesia and intensive care in the John Radcliffe Hospital, Oxford and the teaching hospitals of Newcastle upon Tyne. For the past 20 years Dr Shaw has been a Consultant Anaesthetist and an honorary Clinical Lecturer in the teaching hospitals of Newcastle upon Tyne. His areas of clinical practice include: anaesthesia for oral and maxillofacial surgery; ear, nose and throat (ENT) surgery; and upper gastrointestinal surgery, in particular major oesophageal surgery. For the past eleven years Dr Shaw was a Royal College of Anaesthetists Final Fellowship examiner and chairman of the Final Fellowship Clinical Science Oral examination. Professor Chandra Kumar is a Consultant Anaesthetist based at The James Cook University Hospital, Middlesbrough, UK. His interests include ophthalmic, regional, elderly and colorectal anaesthesia. He has edited 5 textbooks and published widely in peer review journals in all aspects of anaesthesia. He has lectured and conducted master classes on ophthalmic regional anaesthesia in all the continents and prestigious organisations such as World Congress of Anaesthesiology, World Congress of Regional Anaesthesia, American Academy of Ophthalmology, Ophthalmic Anesthesia Society, American Society of Anesthesiologists, Association of Anaesthetists of Great Britain and Ireland and many others. He founded British Ophthalmic Anaesthesia Society (BOAS) and is its current President and International President, 3rd World Congress of Ophthalmic Anaesthesia (Turkey). He is also examiner for the Final FFARCSI examinations for The College of Anaesthetists, Dublin.

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Table of Contents

List of contributors


Chapter 1 The history of dental anaesthesia Gary Enever Enever, Gary 1

Chapter 2 Preassessment and optimization of oral and maxillofacial patients Sanjiv Sharma Sharma, Sanjiv 11

Chapter 3 Medicolegal aspects of anaesthesia for oral and maxillofacial surgery Christopher Heneghan Heneghan, Christopher 27

Chapter 4 Recognition and management of the difficult airway Steven Gayer Gayer, Steven 35

Chapter 5 The surgical airway Kaye Cantlay Cantlay, Kaye 49

Chapter 6 The innervation of the head and neck Barry K.B. Berkovitz Berkovitz, Barry K. B. 65

Chapter 7 Regional anaesthetic techniques in oral and maxillofacial surgery John Gerard Meechan Meechan, John Gerard 91

Chapter 8 Conscious sedation David Craig Craig, David 103

Chapter 9 Anaesthesia for dental surgery Sean Williamson Williamson, Sean 119

Chapter 10 Anaesthesia for aesthetic surgery Chandra Kumar Kumar, Chandra 131

Chapter 11 Infection and oral and maxillofacial surgery: implications for anaesthesia Ian D. Clement Clement, Ian D. 143

Chapter 12 Oral and maxillofacial related injuries and hazards during anaesthesia Ian Shaw Shaw, Ian 151

Chapter 13 Oral and maxillofacial imaging for the anaesthetist Iain MacLeod MacLeod, Iain 165

Chapter 14 Anaesthesia for maxillofacial trauma Joy Curran Curran, Joy 177

Chapter 15 Facial, oral, and airway thermal injuries and anaesthesia Tim Vorster Vorster, Tim 189

Chapter 16 Anaesthesia for oral and maxillofacial malignancy Stephen Bonner Bonner, Stephen 207

Chapter 17 Adjuvant therapy for head and neck malignancy Charles G. Kelly Kelly, Charles G. 225

Chapter 18 Anaesthesia for orthognathic surgery Viki Mitchell Mitchell, Viki 241

Chapter 19 Anaesthesia for paediatric maxillofacial surgery Senthil Nadarajan Nadarajan, Senthil 253

Chapter 20 Hypotensive anaesthesia Andrew Jones Jones, Andrew 269

Chapter 21 Anaesthesia for nasal and antral surgery Judith C. Wright Wright, Judith C. 275

Chapter 22 Orofacial pain Joanna Zakrzewska Zakrzewska, Joanna 283

Chapter 23 Sleep apnoea Chris Dodds Dodds, Chris 299

Chapter 24 Postoperative nursing considerations for the maxillofacial surgical patient Lindsay Garcia Garcia, Lindsay 311

Index 327

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