Anaesthesia for maxillofacial surgery

Maxillofacial surgeons are responsible for the operative management of pathologies such as head and neck cancer, facial trauma, infections, craniofacial deformities and temporomandibular joint dysfunction. Airway management for these patients can be particularly challenging for the anaesthetist. This article will focus on key aspects of airway assessment and the development of a comprehensive management strategy; including recognizing impending airway compromise, advanced airway management skills, appropriate rescue techniques and planning for tracheal extubation. We will describe the key aspects of clinical management for common maxillofacial surgical presentations, with reference to the most recent evidence base and clinical guidelines.