Results Variation in heart rate was seen in patients undergoing surgery under local anesthesia and general anesthesia. The heart rate and blood pressure were measured preoperatively, intraoperatively and postoperatively. The aim of the study was to find the prevalence of TCR in patients undergoing surgical intervention (elevation of zygomatic complex fractures with/without fixation) under local anesthesia and general anesthesia. Materials and methods The study comprised 26 participants diagnosed with zygomatic fractures indicated for surgical intervention. The aim of this study was to assess the prevalence of TCR in patients undergoing elevation with/without fixation of zygomatic complex fractures and isolated zygomatic arch fractures under local anesthesia and general anesthesia and to evaluate the prevalence of TCR in different age groups. However, the prevalence of the TCR has not been studied in zygomatic complex fractures. In literature, TCR has been seen during ocular surgeries, Lefort fractures, and craniofacial surgeries. Nevertheless, a larger body of patient data is needed to confirm the benefits of the technique.Īim Trigeminocardiac reflex (TCR) manifests as typical hemodynamic perturbations including a sudden lowering of heart rate, mean arterial blood pressure (MABP), cardiac arrhythmias, and asystole. Furthermore, it reduces potential complications related to the conventional procedure. In conclusion, this technique seems to improve the accuracy of pterygomaxillary disjunction without prolonging the surgery time. Regarding manipulation of the surgical guide in the posterior area, it was found to be easily manageable and very stable over the posterior teeth, due to its small size and precision, respectively. There were no undesired fractures or bleeding. The use of the surgical guide added accuracy and predictability to the procedure, with no prolongation of the surgery time. Then, maxillary down-fracture was performed with slight pressure through an anterior approach. It was placed in the maxillary tuberosity supported by molars, and a flapless vertical osteotomy was performed with a piezoelectric saw. The present study used preoperative virtual planning to establish a surgical cutting guide for pterygomaxillary osteotomy. Potential complications related to pterygomaxillary disjunction have been widely described in the literature, most of them being due to the inaccurate and blind approach involved. Surgeons should be aware of these injuries and be ready to intervene with emergent cricothyrotomy if necessary. Conclusion On the basis of CT imaging findings, our study demonstrates that certain types of facial fractures could pose difficult intubation. Results A total of 232 subjects were selected and it was found that patients with LeFort II facial fracture, bilateral mandibular fracture, and facial fracture associated with basilar skull fracture were noted to have difficult intubation by the anesthesiology team.
Anesthesiology intubation documents were reviewed to determine which types of facial injuries were associated with difficult intubation per anesthesiology documentation.
Methods Trauma patients with facial injuries in a level II trauma center from January 2007 to September 2017 that required intubation were evaluated for types of facial injury.
This could include prior to the planned procedure in the operating room (OR) as well as in emergent conditions in trauma bay. By anticipating potential complications with airway management, the surgeons can be better prepared for emergent cricothyrotomy if needed. Purpose The purpose of this study was to determine which types of facial injuries in traumatic patients' wounds cause difficult intubation for anesthesiology team.
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