Anesthetic and Reconstructive Considerations in Major Head and Neck Trauma

  • Sean W. Gallagher
  • Andrew R. ScottEmail author


This chapter focuses on anesthetic considerations specific to pediatric maxillofacial and laryngotracheal trauma. A thorough understanding of affected anatomy and the goals and challenges of surgical repair are reviewed and serve as framework for discussion. Additionally, unique airway challenges encountered during operative procedures for head and neck trauma in children are highlighted. Anticipating potential difficulties that may arise during induction, maintenance, and emergence from anesthesia is critical to the safe management of pediatric maxillofacial trauma patients. The authors contribute complimentary perspectives from their respective fields of pediatric anesthesiology and pediatric otolaryngology to outline a collaborative approach to the delivery of perioperative care for these complicated patients.


Airway management Pediatric trauma Maxillofacial trauma Laryngeal trauma Neck trauma Laryngotracheal injury Pediatric anesthesia 

Supplementary material

Video 12.1

A video demonstrating the extent of hard palate mobility following Le Fort 1 osteotomy. This case involves a planned osteotomy for maxillary advancement rather than acute trauma. Note that the airway has been secured with nasal intubation (MOV 56598 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Pediatric and Cardiac AnesthesiologyFloating Hospital for Children at Tufts Medical CenterBostonUSA
  2. 2.Division of Pediatric Otolaryngology and Facial Plastic SurgeryFloating Hospital for Children at Tufts Medical CenterBostonUSA

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