Chen J J, Susetio L, Chao C C
Ma Zui Xue Za Zhi. 1989 Mar;27(1):27-34.
Anesthetic cases of oral and maxillofacial surgery during the period 1976-1985 were reviewed. There was a total of 653 cases, and the most frequently performed operation in this series was open reduction of maxillofacial bone fracture (22.8%). Special clinical problems were encountered in the 72 cases (11.02%) who underwent surgery for osteoradionecrosis, because most of them suffered from trismus and stiff neck. Nasotracheal intubation was more commonly used (84.69%). Sixty six cases received tracheostomy since they suffered from serious trismus and/or severe maxillofacial fracture. The recently introduced method of induction using etomidate and fentanyl seemed effective in maintaining hemodynamic stability. In 147 cases (22.51%), the anesthesia lasted more than 4 hours. In 366 cases (56.04%), a local infiltration of the operation field was performed with 1:100,000 epinephrine. Of these, 76 cases developed cardiac arrhythmia, mainly VPC (ventricular premature contraction) 12 of whom had a history of preoperative cardiac arrhythmias. The incidence of preoperative medical disease was 10.27%, the most common being cardiovascular (32.84%) and respiratory (26.87%) disease. Complications occurred during anesthesia in 122 cases (18.69%) with a high incidence of cardiac arrhythmia (67.21%).
回顾了1976年至1985年期间口腔颌面外科的麻醉病例。共有653例，该系列中最常进行的手术是颌面骨骨折切开复位术（22.8%）。72例（11.02%）接受放射性骨坏死手术的患者出现了特殊的临床问题，因为他们大多数患有牙关紧闭和颈部僵硬。鼻气管插管更为常用（84.69%）。66例因严重牙关紧闭和/或严重颌面骨折接受了气管切开术。最近引入的依托咪酯和芬太尼诱导方法似乎对维持血流动力学稳定有效。147例（22.51%）麻醉持续时间超过4小时。366例（56.04%）手术区域采用1:100,000肾上腺素进行局部浸润。其中76例出现心律失常，主要是室性早搏，其中12例术前有心律失常病史。术前内科疾病的发生率为10.27%，最常见的是心血管疾病（32.84%）和呼吸系统疾病（26.87%）。122例（18.69%）在麻醉期间出现并发症，心律失常发生率较高（67.21%）。
