What clinical protocols are applied for “Airway Management” in the first 48 hours after orthognathic surgery?

Orthognathic surgery, especially double jaw surgeries, causes significant edema (swelling) in the face and throat area, and slight bleeding in the mouth, making the first 48 hours the most critical period for airway safety. Before extubation, patients’ mouths are completely aspirated, and their heads are always elevated 30 to 45 degrees (Fowler position) upon transfer to their rooms. High-dose intravenous corticosteroids are administered to prevent pressure on the trachea from severe edema, decongestant nasal drops are used, and a surgical aspirator is kept readily available in the room. Additionally, if the patient’s jaws are tightly bound with rubber bands, an emergency pair of scissors is always kept at the bedside so that the bands can be cut immediately in case of vomiting.