Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 5 , Pages 345-349 , July 2010

The role of controlled hypotension upon transfusion requirement during maxillary downfracture in double-jaw surgery

  • Altan Varol, DDS, PhD

      Affiliations

    • Department of Oral and Maxillofacial Surgery, School of Dentistry, Marmara University, Istanbul, Turkey
    • Corresponding Author InformationDr. Altan VAROL, DDS, PhD, Marmara University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Buyukciftlik Sok. No. 6 Nisantasi/Sisli, 34365 Istanbul, Turkey. Tel.: +90 5325411841; Fax: +90 2122465247.
    • ,
  • Selçuk Basa, DDS, PhD

      Affiliations

    • Department of Oral and Maxillofacial Surgery, School of Dentistry, Marmara University, Istanbul, Turkey
    • ,
  • Salih Ozturk, MD

      Affiliations

    • Department of Anaesthesiology and Reanimation, Okmeydani Education and Research Hospital, Istanbul, Turkey

Received 21 May 2009 ,Accepted 19 October 2009.

References 

  1. A report by the American Society of Anesthesiologists Task Force on Blood Component Therapy. Practice guidelines for blood component therapy. Anesthesiology. 1996;84:732–747
  2. Anderson JA. Deliberate hypotensive anaesthesia for orthognathic surgery: controlled pharmacologic manipulation of cardiovascular physiology. Int J Adult Orthod Orthognath Surg. 1986;1:133–159
  3. Ash DC, Mercuri LG. The relationship between blood ordered and blood administered in orthognathic surgery: a retrospective study. J Oral Maxillofac Surg. 1985;43:944–946
  4. Boezaart AP, van der Merwe J, Coetzee A. Comparison of sodium nitroprusside- and esmolol-induced controlled hypotension for functional endoscopic sinus surgery. Can J Anaesth. 1995;42:373–376
  5. Bell WH. Modern practice in orthognathic and reconstructive surgery. Philadelphia, PA: Saunders; 1992;
  6. Cruz AA, dos Santos AC. Blindness after Le Fort I osteotomy: a possible complication associated with pterygomaxillary separation. J Craniomaxillofac Surg. 2006;34:210–216
  7. Caverni V, Rosa G, Pinto G, Tordiglione P, Favaro R. Hypotensive anesthesia and recovery of cognitive function in long-term craniofacial surgery. J Craniofac Surg. 2005;16:531–536
  8. Cheng HC, Chi LH, Wu JY, Hsieh TT, Pemg BY. Blindness and basal ganglia hypoxia as a complication of Le Fort I osteotomy attributable to hypoplasia of the internal carotid artery: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:e27–e33
  9. Choi WS, Samman N. Risks and benefits of deliberate hypotension in anaesthesia: a systematic review. Int J Oral Maxillofac Surg. 2008;37:687–703
  10. Dhariwal DK, Gibons AJ, Kittur MA, Sugar AW. Blood transfusion requirements in bimaxillary osteotomies. Br J Oral Maxillofac Surg. 2004;42:231–235
  11. Dolman RM, Bentley KC, Head TW, English M. The effect of hypotensive anaesthesia on blood loss and operative time during Le Fort I osteotomies. J Oral Maxillofac Surg. 2000;58:834–839
  12. Enlund MG, Ahlstedt BL, Andersson LG, Krekmanov LI. Induced hypotension may influence blood loss in orthognathic surgery, but it is not crucial. Scand J Plast Reconstr Hand Surg. 1997;31:311–317
  13. Felfernig-Boehm D, Salat A, Kinstner C, Fleck T, Felfernig M, Kimberger O, et al. Influence of hypotensive and normotensive anesthesia on platelet aggregability and hemostatic markers in orthognathic surgery. Thromb Res. 2001;103:185–192
  14. Flood TR, Ilankovan V, Moos KF. Cross-match requirements in orthognathic surgery: an audit. Br J Oral Maxillofac Surg. 1990;28:292–294
  15. Gong SG, Krishnan V, Waack D. Blood transfusions in bimaxillary orthognathic surgery: are they necessary?. Int J Adult Orthod Orthognath Surg. 2002;17:314–317
  16. Golia JK, Woo R, Farole A, Seltzer JL. Nitroglycerin-controlled circulation in orthognathic surgery. J Oral Maxillofac Surg. 1985;43:342–345
  17. Kurian A, Ward-Booth P. Blood transfusion and orthognathic surgery – a thing of the past?. Br J Oral Maxillofac Surg. 2004;42:369–370
  18. Leigh JM. The history of controlled hypotension. Br J Anaesth. 1975;47:745–749
  19. Lessard MR, Trépanier CA, Baribault JP, Brochu JG, Brousseau CA, Coté JJ, et al. Isoflurane-induced hypotension in orthognathic surgery. Anesth Analg. 1989;69:379–383
  20. Moenning JE, Bussard DA, Lapp TH, Garrison B. Average blood loss and the risk of requiring perioperative blood transfusion in 506 orthognathic surgical procedures. J Oral Maxillofac Surg. 1995;53:880–883
  21. McNulty S, Sharifi-Azad S, Farole A. Induced hypotension with labetalol for orthognathic surgery. J Oral Maxillofac Surg. 1987;45:309–311
  22. Pasch T, Huk W. Cerebral complications following induced hypotension. Eur J Anaesthesiol. 1986;3:799
  23. Praveen K, Narayanan V, Muthusekhar MR, Baig MF. Hypotensive anaesthesia reduces blood loss in orthognathic surgery: a clinical study. Br J Oral Maxillofac Surg. 2001;39:138–140
  24. Precious DS, Splinter W, Bosco D. Induced hypotensive anesthesia for adolescent orthognathic surgery patients. J Oral Maxillofac Surg. 1996;54:680–683
  25. Rodrigo C. Induced hypotension during anesthesia with special reference to orthognathic surgery. Anesth Prog. 1995;42:41–58
  26. Samman N, Cheung LK, Tong AC, Tideman H. Blood loss and transfusion requirements in orthognathic surgery. J Oral Maxillofac Surg. 1996;54:21–24
  27. Schaberg SJ, Kelly JF, Terry BC, Posner MA, Anderson EF. Blood loss and hypotensive anesthesia in oral-facial corrective surgery. J Oral Surg. 1976;34:147–156
  28. Schobel GA, Schmidbauer M, Millesi W, Undt G. Posterior ischemic optic neuropathy following bilateral radical neck dissection. Int J Oral Maxillofac Surg. 1995;24:283–287
  29. Spahn DR. Strategies for transfusion therapy. Best Pract Res Clin Anaesthesiol. 2004;18:661–673
  30. Ueki K, Marukawa K, Shimada M, Nakagawa K, Yamamoto E. The assessment of blood loss in orthognathic surgery for prognathia. J Oral Maxillofac Surg. 2005;63:350–354
  31. Washburn MC, Hyer RL. Deliberate hypotension for elective major maxillofacial surgery: a balance halothane and morphine technique. J Maxillofac Surg. 1982;10:50–55
  32. Zellin G, Rasmusson L, Pålsson J, Kahnberg KE. Evaluation of hemorrhage depressors on blood loss during orthognathic surgery: a retrospective study. J Oral Maxillofac Surg. 2004;62:662–666

PII: S1010-5182(09)00188-7

doi: 10.1016/j.jcms.2009.10.012

Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 5 , Pages 345-349 , July 2010

Article Tools

* Image Usage & Resolution