Obese OSA Patient with Carotid Stenosis for Bimaxillary Osteotomy
Reading Time
2:00
Clinical Stem
2025.2
The first patient on your elective maxillo-facial operative list in a tertiary hospital is a 55-year-old man for a bimaxillary osteotomy for treatment of his obstructive sleep apnoea.
He has a BMI of 47, is an ex-smoker with hypertension and type 2 diabetes mellitus.
He has not been to the pre-admission clinic but shows you a recent ultrasound report demonstrating 70% stenosis of his left carotid artery.
Medications
Rosuvastatin 20 mg once daily
Candesartan 16 mg once daily
Metformin 500 mg bd
Gliclazide 60 mg MR once daily
Sections covered in this viva
Section 1 – Pre-operative assessment and investigation of a comorbid patient with severe obstructive sleep apnoea and carotid artery stenosis for mandibular osteotomySection 2 – Anaesthetic induction, airway management, and intra-operative management of ischaemia and haemorrhage in maxillofacial surgerySection 3 – Assessment and management of postoperative hoarseness following major head and neck surgery