Anesthetic Management of Sagittal Mandibulosteotomy for a Patient with a Pharyngeal Flap

Abstract

A 20-year-old man was scheduled for sagittal mandiblosteotomy. Prior to admission, he had undergone pharyngeal flap surgery for his persistent cleft palate. Avoiding injury of the pharyngeal flap during anesthetic procedures was therefore necessary. To avoid damaging the pharyngeal flap, nasoendotracheal intubation was performed fiberoptically with the patient awake, and anesthesia was completed uneventfully.