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Infection and oral and maxillofacial surgery: implications for anaesthesia 

Infection and oral and maxillofacial surgery: implications for anaesthesia
Chapter:
Infection and oral and maxillofacial surgery: implications for anaesthesia
Author(s):

Ian D. Clement

DOI:
10.1093/med/9780199564217.003.0011
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date: 04 December 2020

This chapter looks at the anaesthetic management of patients presenting with orofacial infection. It will examine the pathophysiology of oral and dental infection and the associated local and systemic effects. This includes a discussion on the recognition and management of sepsis syndrome and the postoperative care of these patients in a critical care environment. In addition, the anaesthetic implications of patients with transmissible bloodborne infections presenting for maxillofacial surgery will be considered.

Infection of the oral cavity, including dental caries, dental abscess, and gingivitis, is one of the commonest diseases in the world. Management of these conditions rarely involves the anaesthetist. Standard management includes improved oral hygiene, antibiotics, and drainage under local anaesthesia. However, when this fails, or when serious local or systemic infection develops, then the anaesthetist will become involved. Infection in the head and neck requiring surgical intervention represents a major part of the emergency workload in maxillofacial surgery units.

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