Optimizing Anesthesia for Extensive Extraoral Fungating Lesions: Strategies and Considerations

A large extraoral fungus, frequently seen in late head and neck cancers, poses serious difficulties for the management of anesthesia and surgery. Essential factors include preoperative optimization, airway assessment, intraoperative monitoring, and postoperative care. Risk mitigation and outcome optimization strategies are discussed, including appropriate airway management and hemodynamic monitoring. Ideal patient outcomes in situations of extensive extraoral fungation can be attained by a complete plan that integrates surgical expertise and anesthetic care. This case discusses the successful anesthetic management of a 55-year-old man undergoing composite resection with segmental mandibulectomy, appropriate neck dissection, free fibular flap, and scalp flap for squamous cell carcinoma of the lower labial mucosa with significant extraoral fungation.

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Case report of anesthetic management for a 55-year-old man with a large extraoral fungating lower-lip squamous cell carcinoma undergoing composite resection, mandibulectomy, neck dissection and free fibular and scalp flaps; airway planning and hemodynamic monitoring are discussed.

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