✦ LIBER ✦

Prone positioning for head and neck reconstructive surgery

✍ Scribed by Steven Ross Mobley; Brian Thomas Miller; Frank C. Astor; Bradley Fine; N. James Halliday

Publisher: John Wiley and Sons
Year: 2007
Tongue: English
Weight: 157 KB
Volume: 29
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20650

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Certain head and neck surgical cases require the patient to be positioned prone. Such positioning carries with it an attendant subset of risks and complications not otherwise encountered in more traditional supine positioning. Gaining awareness of these risks and complications, and developing proactive positioning strategies, will enable the surgical team to position the patient optimally for the procedure and provide for every consideration of patient safety.

This article consists of a specific literature review of those issues directly related to the anatomical and physiological concerns arising from prone positioning. Particular attention is paid to the cardiopulmonary, renal, ophthalmologic, and neurological vulnerabilities unique to this position.

Proper planning by the surgical team and utilization of the correct equipment are a necessity. A tailored approach to the needs of the individual patient and an intimate awareness of the potential pitfalls will contribute to better outcomes when using the prone position. © 2007 Wiley Periodicals, Inc. Head Neck, 2007

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