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A Technic of General Anesthesia for Blepharoplasty and Rhytidectomy

HERZL KATZ, M.D.^*, ROY C. MACHIDA, M.D., D. GARETH WOOTTON, M.D., and ROBERT AMONIC, M.D.

*Clinical Instructor, Department of Anesthesiology, University of California, Los Angeles, California. Clinical Instructor in Surgery, Division of Plastic Surgery, University of California, Los Angeles, California.

Abstract

A series of 66 consecutive cases of blepharoplasty and rhytidectomy are reported, 60 of which were performed with a general anesthesia technic utilizing local anesthesia with epinephrine, in association with enflurane inhalation delivered via bilateral nasopharyngea airways (BNPA). Six cases were not suitable candidates for the technic because of physical status or for anatomic reasons. The technic has the advantage of providing airway control without tracheal intubation, light depth of anesthesia, compatibility with epinephrine, and highly acceptable limits of intraoperative bleeding and postoperative hematoma.