Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital)

Rawaa Younus Al-Rawee; Amar Yaseen Al-Anee; Saud Salim Saeed; Bashar Abdul-Ghani Tawfeeq

doi:doi:10.11648/j.ijcoms.20200601.13

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Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital)

Rawaa Younus Al-Rawee, Amar Yaseen Al-Anee, Saud Salim Saeed, Bashar Abdul-Ghani Tawfeeq

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 6, Issue 1)

Received: 11 March 2020 Accepted: 1 April 2020 Published: 23 April 2020

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Abstract

Oral and maxillofacial surgery is that specialty of dentistry including the diagnosis as well as surgical and adjunctive treatment of diseases, injuries, and defects, including both the functional and esthetic aspects of hard and soft tissues of oral and maxillofacial region. Local anesthesia (LA) also has role in maxillofacial surgeries, some oral and maxillofacial surgical procedures can, however, be performed, with or without conscious sedation depending on the extent of the lesion and the ease of surgical access. We aim in this article to high lighting role of local anesthesia for surgical management of major maxillofacial operations already planned to be operated under general anaesthesia. Sample presentation of major maxillofacial cases that can be underwent under local anesthesia also patients evaluation regarding pain and wound healing. Case series of 36 patients (5-78) years old, from (2004-2013) attained Maxillofacial department at Al-Salam (Mosul) and Al-Kadhimiya (Baghdad) Teaching Hospital. All patients underwent major surgeries under local anesthesia (5-7 cartridges). Patients evaluated regarding pain, wound healing and recovery period. Five patients had moderate intraoperative pain that forced us to increase the dose of local anesthesia, minimal blood ooze one hour postoperatively; healing process was uncomplicated. In accordance to time need for each surgery half of cases need no more than 30 minutes to complete the surgery. More than half of patients (27.77% -33.33%) recommend 4-5 cartridge of local anesthesia uses to complete the surgeries. Oral and Maxillofacial operations which can be managed under local anesthesia are practicable and were tolerated and accepted by the adult patients. Local anesthesia can be used to facilitate safer and more efficient procedures especially in medically compromised patients. Local anesthesia surgeries alleviate risk factors and laryngeal discomfort associated with surgeries under general anesthesia, no starvation and minimal hospital stay.

Published in	International Journal of Clinical Oral and Maxillofacial Surgery (Volume 6, Issue 1)
DOI	10.11648/j.ijcoms.20200601.13
Page(s)	12-19
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Major Maxillofacial Surgeries, Local Anesthesia, General Anesthesia

References

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[20]	Soung Min Kim, Mi Hyun Seo, Hoon Myoung, Jong Ho Lee. Regional anesthesia for maxillofacial surgery in developing countries. J Dent Anesth Pain Med 2016; 16 (4): 245-252. https://doi.org/10.17245/jdapm.2016.16.4.245.
[21]	Charlotte De Verbizier, Frédéric Denis, Sahar Moussa-Badran, Laurence Sébastien, Brétaudeau Clara. Infiltration of local anaesthetics associated to oral surgery procedures performed under general anaesthesia. J Oral Med Oral Surg. 2019; 25: 13. https://doi.org/10.1051/mbcb/2018041.
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[23]	Richard C, Pascal J, Martin C. Anesthésie locale et régionale en oto-rhino-laryngologie. EMC _ Oto-Rhino-Laryngol 2011; 6: 1–16.
[24]	James I Beck, Kevin D Johnston. Anesthesia for cosmetic and functional maxillofacial surgery. Continuing Education in Anaesthesia, Critical Care & Pain \| Volume 14 Number 1 2014. Downloaded from https://academic. oup.com/bjaed/ article- abstract/14/1/38/336413 by guest on 19 April 2019.

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APA Style

Rawaa Younus Al-Rawee, Amar Yaseen Al-Anee, Saud Salim Saeed, Bashar Abdul-Ghani Tawfeeq. (2020). Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital). International Journal of Clinical Oral and Maxillofacial Surgery, 6(1), 12-19. https://doi.org/10.11648/j.ijcoms.20200601.13

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ACS Style

Rawaa Younus Al-Rawee; Amar Yaseen Al-Anee; Saud Salim Saeed; Bashar Abdul-Ghani Tawfeeq. Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital). Int. J. Clin. Oral Maxillofac. Surg. 2020, 6(1), 12-19. doi: 10.11648/j.ijcoms.20200601.13

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AMA Style

Rawaa Younus Al-Rawee, Amar Yaseen Al-Anee, Saud Salim Saeed, Bashar Abdul-Ghani Tawfeeq. Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital). Int J Clin Oral Maxillofac Surg. 2020;6(1):12-19. doi: 10.11648/j.ijcoms.20200601.13

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@article{10.11648/j.ijcoms.20200601.13,
  author = {Rawaa Younus Al-Rawee and Amar Yaseen Al-Anee and Saud Salim Saeed and Bashar Abdul-Ghani Tawfeeq},
  title = {Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital)},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {6},
  number = {1},
  pages = {12-19},
  doi = {10.11648/j.ijcoms.20200601.13},
  url = {https://doi.org/10.11648/j.ijcoms.20200601.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20200601.13},
  abstract = {Oral and maxillofacial surgery is that specialty of dentistry including the diagnosis as well as surgical and adjunctive treatment of diseases, injuries, and defects, including both the functional and esthetic aspects of hard and soft tissues of oral and maxillofacial region. Local anesthesia (LA) also has role in maxillofacial surgeries, some oral and maxillofacial surgical procedures can, however, be performed, with or without conscious sedation depending on the extent of the lesion and the ease of surgical access. We aim in this article to high lighting role of local anesthesia for surgical management of major maxillofacial operations already planned to be operated under general anaesthesia. Sample presentation of major maxillofacial cases that can be underwent under local anesthesia also patients evaluation regarding pain and wound healing. Case series of 36 patients (5-78) years old, from (2004-2013) attained Maxillofacial department at Al-Salam (Mosul) and Al-Kadhimiya (Baghdad) Teaching Hospital. All patients underwent major surgeries under local anesthesia (5-7 cartridges). Patients evaluated regarding pain, wound healing and recovery period. Five patients had moderate intraoperative pain that forced us to increase the dose of local anesthesia, minimal blood ooze one hour postoperatively; healing process was uncomplicated. In accordance to time need for each surgery half of cases need no more than 30 minutes to complete the surgery. More than half of patients (27.77% -33.33%) recommend 4-5 cartridge of local anesthesia uses to complete the surgeries. Oral and Maxillofacial operations which can be managed under local anesthesia are practicable and were tolerated and accepted by the adult patients. Local anesthesia can be used to facilitate safer and more efficient procedures especially in medically compromised patients. Local anesthesia surgeries alleviate risk factors and laryngeal discomfort associated with surgeries under general anesthesia, no starvation and minimal hospital stay.},
 year = {2020}
}

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TY  - JOUR
T1  - Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital)
AU  - Rawaa Younus Al-Rawee
AU  - Amar Yaseen Al-Anee
AU  - Saud Salim Saeed
AU  - Bashar Abdul-Ghani Tawfeeq
Y1  - 2020/04/23
PY  - 2020
N1  - https://doi.org/10.11648/j.ijcoms.20200601.13
DO  - 10.11648/j.ijcoms.20200601.13
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 12
EP  - 19
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20200601.13
AB  - Oral and maxillofacial surgery is that specialty of dentistry including the diagnosis as well as surgical and adjunctive treatment of diseases, injuries, and defects, including both the functional and esthetic aspects of hard and soft tissues of oral and maxillofacial region. Local anesthesia (LA) also has role in maxillofacial surgeries, some oral and maxillofacial surgical procedures can, however, be performed, with or without conscious sedation depending on the extent of the lesion and the ease of surgical access. We aim in this article to high lighting role of local anesthesia for surgical management of major maxillofacial operations already planned to be operated under general anaesthesia. Sample presentation of major maxillofacial cases that can be underwent under local anesthesia also patients evaluation regarding pain and wound healing. Case series of 36 patients (5-78) years old, from (2004-2013) attained Maxillofacial department at Al-Salam (Mosul) and Al-Kadhimiya (Baghdad) Teaching Hospital. All patients underwent major surgeries under local anesthesia (5-7 cartridges). Patients evaluated regarding pain, wound healing and recovery period. Five patients had moderate intraoperative pain that forced us to increase the dose of local anesthesia, minimal blood ooze one hour postoperatively; healing process was uncomplicated. In accordance to time need for each surgery half of cases need no more than 30 minutes to complete the surgery. More than half of patients (27.77% -33.33%) recommend 4-5 cartridge of local anesthesia uses to complete the surgeries. Oral and Maxillofacial operations which can be managed under local anesthesia are practicable and were tolerated and accepted by the adult patients. Local anesthesia can be used to facilitate safer and more efficient procedures especially in medically compromised patients. Local anesthesia surgeries alleviate risk factors and laryngeal discomfort associated with surgeries under general anesthesia, no starvation and minimal hospital stay.
VL  - 6
IS  - 1
ER  -

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Author Information

Rawaa Younus Al-Rawee

Department of Oral and Maxillofacial Surgery, Al-Salam Teaching Hospital, Ministry of Health, Mosul, Iraq
Amar Yaseen Al-Anee

Department of Oral and Maxillofacial Surgery, Al-Kadhimiya Teaching Hospital, Ministry of Health, Baghdad, Iraq
Saud Salim Saeed

Department of Anesthesia and Intensive Care Unit, Al-Salam Teaching Hospital, Ministry of Health, Mosul, Iraq
Bashar Abdul-Ghani Tawfeeq

Department of Oral and Maxillofacial Surgery, Al-Salam Teaching Hospital, Ministry of Health, Mosul, Iraq

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APA Style

Rawaa Younus Al-Rawee, Amar Yaseen Al-Anee, Saud Salim Saeed, Bashar Abdul-Ghani Tawfeeq. (2020). Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital). International Journal of Clinical Oral and Maxillofacial Surgery, 6(1), 12-19. https://doi.org/10.11648/j.ijcoms.20200601.13

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ACS Style

Rawaa Younus Al-Rawee; Amar Yaseen Al-Anee; Saud Salim Saeed; Bashar Abdul-Ghani Tawfeeq. Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital). Int. J. Clin. Oral Maxillofac. Surg. 2020, 6(1), 12-19. doi: 10.11648/j.ijcoms.20200601.13

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AMA Style

Rawaa Younus Al-Rawee, Amar Yaseen Al-Anee, Saud Salim Saeed, Bashar Abdul-Ghani Tawfeeq. Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital). Int J Clin Oral Maxillofac Surg. 2020;6(1):12-19. doi: 10.11648/j.ijcoms.20200601.13

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@article{10.11648/j.ijcoms.20200601.13,
  author = {Rawaa Younus Al-Rawee and Amar Yaseen Al-Anee and Saud Salim Saeed and Bashar Abdul-Ghani Tawfeeq},
  title = {Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital)},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {6},
  number = {1},
  pages = {12-19},
  doi = {10.11648/j.ijcoms.20200601.13},
  url = {https://doi.org/10.11648/j.ijcoms.20200601.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20200601.13},
  abstract = {Oral and maxillofacial surgery is that specialty of dentistry including the diagnosis as well as surgical and adjunctive treatment of diseases, injuries, and defects, including both the functional and esthetic aspects of hard and soft tissues of oral and maxillofacial region. Local anesthesia (LA) also has role in maxillofacial surgeries, some oral and maxillofacial surgical procedures can, however, be performed, with or without conscious sedation depending on the extent of the lesion and the ease of surgical access. We aim in this article to high lighting role of local anesthesia for surgical management of major maxillofacial operations already planned to be operated under general anaesthesia. Sample presentation of major maxillofacial cases that can be underwent under local anesthesia also patients evaluation regarding pain and wound healing. Case series of 36 patients (5-78) years old, from (2004-2013) attained Maxillofacial department at Al-Salam (Mosul) and Al-Kadhimiya (Baghdad) Teaching Hospital. All patients underwent major surgeries under local anesthesia (5-7 cartridges). Patients evaluated regarding pain, wound healing and recovery period. Five patients had moderate intraoperative pain that forced us to increase the dose of local anesthesia, minimal blood ooze one hour postoperatively; healing process was uncomplicated. In accordance to time need for each surgery half of cases need no more than 30 minutes to complete the surgery. More than half of patients (27.77% -33.33%) recommend 4-5 cartridge of local anesthesia uses to complete the surgeries. Oral and Maxillofacial operations which can be managed under local anesthesia are practicable and were tolerated and accepted by the adult patients. Local anesthesia can be used to facilitate safer and more efficient procedures especially in medically compromised patients. Local anesthesia surgeries alleviate risk factors and laryngeal discomfort associated with surgeries under general anesthesia, no starvation and minimal hospital stay.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Task of Local Anaesthesia in Major Maxillofacial Surgical Operations (A 36 Case Series Operated in Al-Salam Teaching Hospital)
AU  - Rawaa Younus Al-Rawee
AU  - Amar Yaseen Al-Anee
AU  - Saud Salim Saeed
AU  - Bashar Abdul-Ghani Tawfeeq
Y1  - 2020/04/23
PY  - 2020
N1  - https://doi.org/10.11648/j.ijcoms.20200601.13
DO  - 10.11648/j.ijcoms.20200601.13
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 12
EP  - 19
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20200601.13
AB  - Oral and maxillofacial surgery is that specialty of dentistry including the diagnosis as well as surgical and adjunctive treatment of diseases, injuries, and defects, including both the functional and esthetic aspects of hard and soft tissues of oral and maxillofacial region. Local anesthesia (LA) also has role in maxillofacial surgeries, some oral and maxillofacial surgical procedures can, however, be performed, with or without conscious sedation depending on the extent of the lesion and the ease of surgical access. We aim in this article to high lighting role of local anesthesia for surgical management of major maxillofacial operations already planned to be operated under general anaesthesia. Sample presentation of major maxillofacial cases that can be underwent under local anesthesia also patients evaluation regarding pain and wound healing. Case series of 36 patients (5-78) years old, from (2004-2013) attained Maxillofacial department at Al-Salam (Mosul) and Al-Kadhimiya (Baghdad) Teaching Hospital. All patients underwent major surgeries under local anesthesia (5-7 cartridges). Patients evaluated regarding pain, wound healing and recovery period. Five patients had moderate intraoperative pain that forced us to increase the dose of local anesthesia, minimal blood ooze one hour postoperatively; healing process was uncomplicated. In accordance to time need for each surgery half of cases need no more than 30 minutes to complete the surgery. More than half of patients (27.77% -33.33%) recommend 4-5 cartridge of local anesthesia uses to complete the surgeries. Oral and Maxillofacial operations which can be managed under local anesthesia are practicable and were tolerated and accepted by the adult patients. Local anesthesia can be used to facilitate safer and more efficient procedures especially in medically compromised patients. Local anesthesia surgeries alleviate risk factors and laryngeal discomfort associated with surgeries under general anesthesia, no starvation and minimal hospital stay.
VL  - 6
IS  - 1
ER  -

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