Perioperative Management of Simultaneous Bimaxillary Orthognathic Surgery in Our Hospital

Abstract

In our hospital, “Safety” is the most important in perioperative management. Perioperative management of simultaneous bimaxillary orthognathic surgery is comparatively difficult due to complications concerning the area in which it is performed.
Our perioperative managements are summerized as follows: 1. Nasotracheal intubation is continued to the day after surgery to avoid upper respiratory obstruction due to edema and bleeding.
2. Stored and hemodilutional autotransfusion and hypotensive anesthesia are performed to avoid homologous transfusion and postoperative anemia.
3. CVP catheter is used for postoperative iv medication.
4. Linear polarized near-infrared light irradiated to reduce facial edema and to improve sensory paralysis of lower lip.
The most important factor is close cooperation between anesthesiologist and OMF surgeon to offersafety to the patient, undergoing perioperative management of simultaneous bimaxillary orthognatic surgery.