Case report: anesthetic management in complex forehead flap reconstruction for basal cell carcinoma

Airway management in patients undergoing complex nasal reconstructive surgeries presents distinct challenges due to significant anatomical distortions. This case report describes the anesthetic considerations for an 82-year-old female patient undergoing forehead flap reconstruction for basal cell carcinoma (BCC) of the nose. The report emphasizes an innovative approach utilizing a pediatric mask in conjunction with inverted bag-mask ventilation to optimize airway management. These techniques proved effective in addressing the anatomical challenges and ensuring patient safety. The methodologies discussed extend beyond reconstructive surgery and may have broader applications in managing difficult airways in various clinical scenarios.