关键词: 颌面外科, 肿瘤, 气道管理, 气管内插管

Abstract:

Summary：General anesthesia is usually required in performing operation for oral and maxillofacial tumors. The maxillofacial region has rich blood supply，and the surgical operation targeting to this region is generally accompanied by major surgical trauma and large blood loss. Maxillofacial tumors often affect the airway，which，together with postoperative swelling，jaw and neck bandaged fixation，as well as secretions residue，is unfavorable to keep the airway unobstructed，even leads to acute upper respiratory tract suffocation，and endangers the patient's life. Therefore，it is crucial to monitor the respiratory tract and keep the respiratory tract unobstructed during perioperative period. It plays a key role in guaranteeing the success of the operation and safety of patients. We systematically reviewed the methods of airway management during oral and maxillofacial operation in several aspects，such as the pre-anesthesia preparation，endotracheal intubation，complications and points for attention，etc. Clinical practice has proved that airway management in the perioperative period is very important to ensure the safety of patient’s life. It is closely associated with the success of the operation manipulation.

Key words: maxillofacial surgery, tumor, airway management, tracheal intubation