Anaesthesia for Pectoralis Major Myocutaneous Flap in a Patient with a Major Facial Defect and Restricted Mouth Opening: A Case Report

Akwasi Antwi-Kusi, Wilfred Sam-Awortwi, Gabriel Boakye

Department of Anaesthesia and Intensive Care, Komfo Anokye Teaching Hospital, Kumasi, Ghana..

DOI: 10.4236/ojanes.2013.33038                

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.

Keywords

Pectoralis Major Myocutaneous Flap; Fibreoptic Intubation; Anaesthesia; Airway

Conflicts of Interest

The authors declare no conflicts of interest.

References

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