TITLE:
Anaesthesia for Pectoralis Major Myocutaneous Flap in a Patient with a Major Facial Defect and Restricted Mouth Opening: A Case Report
AUTHORS:
Akwasi Antwi-Kusi, Wilfred Sam-Awortwi, Gabriel Boakye
KEYWORDS:
Pectoralis Major Myocutaneous Flap; Fibreoptic Intubation; Anaesthesia; Airway
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.3 No.3,
May
13,
2013
ABSTRACT: Perioperative airway management in
patients with oro-facial cancers who has undergone chemo/or radiotherapy poses
a great challenge to the anaesthesiologist. These challenges are mainly due to
either a mass in the oral cavity or a limited mouth opening making intubation
difficult or a major facial defect making mask ventilation difficult. We present
our first time experience in a 27-year-old man with a
malignant lymphoma of the right cheek who had undergone chemotherapy and needed plastic surgery to
restore the face.