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Anesthesia in Head and Neck Surgery
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Anesthesia in Head and Neck Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: closed (20 May 2026) | Viewed by 652

Special Issue Editor

Dr. Antonino Maniaci

E-Mail Website
Guest Editor
Department of Medicine and Surgery, University of Enna Kore, 94100 Enna, Italy
Interests: audiology; otology; artificial intelligence

Special Issue Information

Dear Colleagues,

Head and neck surgery poses unique challenges for anesthesiologists, requiring expertise in airway management, hemodynamic stability, perioperative pain control, and multidisciplinary collaboration. Advances in surgical techniques and perioperative care have expanded the complexity of procedures, making tailored anesthetic strategies crucial for patient safety and improved outcomes.

This Special Issue will focus on innovations and current practices in anesthesia for head and neck surgery, including, but not limited to, the following:

  • Airway management strategies in complex surgical and oncologic cases.
  • Enhanced recovery protocols and multimodal analgesia.
  • Anesthetic considerations in patients with comorbidities and difficult airways.
  • Perioperative monitoring, blood management, and fluid therapy.
  • The role of regional anesthesia and novel pharmacological approaches.
  • Impact of anesthesia on oncological outcomes and quality of life.

We welcome original research, clinical studies, and state-of-the-art reviews addressing these critical topics. Our goal is to provide a comprehensive resource for anesthesiologists and surgeons working together to optimize perioperative care in head and neck surgery.

We look forward to receiving your contributions.

Dr. Antonino Maniaci
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • airway management
  • hemodynamic stability
  • perioperative monitoring
  • head and neck surgery
  • anesthesia

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Review

27 pages, 2126 KB  
Review
Regional Anaesthesia Approaches in Head and Neck Surgery: Current Evidence and Clinical Applications
by Antonino Maniaci, Mario Lentini, Maria Stella Di Modica, Federica Maria Parisi, Carlos Chiesa-Estomba, Jerome Rene Lechien, Giuseppe A. G. Lombardo, Matthew White and Luigi La Via
J. Clin. Med. 2026, 15(10), 3569; https://doi.org/10.3390/jcm15103569 - 7 May 2026
Viewed by 294
Abstract
General approaches of head and neck surgery involve varied procedures with developing perioperative care and a renewed effort on regional anaesthesia (RA) for intraoperative and postoperative analgesia. Due to the rich innervation and focus on enhanced recovery after surgery (ERAS), RA techniques, particularly [...] Read more.
General approaches of head and neck surgery involve varied procedures with developing perioperative care and a renewed effort on regional anaesthesia (RA) for intraoperative and postoperative analgesia. Due to the rich innervation and focus on enhanced recovery after surgery (ERAS), RA techniques, particularly ultrasound-guided ones, are becoming popular as part of an opioid-sparing multimodal analgesic regimen. However, the evidence base is heterogeneous and synthesised clinical guidance is needed. This narrative review, performed according to the Scale for the Assessment of Narrative Review Articles (SANRA) framework, summarises the existing literature on the role of RA in head and neck surgery, including anatomical basis, types of techniques used for RA, clinical applications, immediate outcomes and implementation. We conducted a comprehensive literature search, including studies published between January 2000 and October 2025 in English, across the PubMed/MEDLINE, Scopus, and Cochrane Library databases. Understanding of the anatomy of cervical plexus (C1–C4) and cranial nerves such as trigeminal V is basic to delineation of techniques into superficial (e.g., SCPB), deep and selective cranial nerve blocks. The evidence about decreases in postoperative pain intensity, opioid consumption (especially 24 h post-op) and decreased length of stay, largely through studies on thyroidectomy, has been consistent for SCPB as an adjunct to general anaesthesia. Ultrasound-guided regional anaesthesia (UGRA) has significantly enhanced precision and safety, reducing risks such as phrenic nerve paresis, although the concern for even higher complication rates remains with deeper or bilateral blocks. Although beneficial outcomes have been demonstrated, the literature is plagued by small and heterogeneous trials, variable block protocols, and a lack of data in complex oncologic resections or reconstructive settings. For successful implementation, there is a need for structured training programmes of anaesthesiologists and surgeons involved in the procedure performing UGRA together, institutional protocols on standardised technique, patient monitoring and outcomes auditing. RA is a useful and safe adjunct to head and neck surgery, providing analgesia in the short term and contributing to improved recovery during the perioperative period. Further studies should be conducted through large-scale, standardised trials to resolve the contributions of blocks in complex surgical cases and implement best practices for both training and clinical integration. Full article
(This article belongs to the Special Issue Anesthesia in Head and Neck Surgery)
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