Prone positioning for head and neck reconstructive surgery

Steven Ross Mobley, Brian Thomas Miller, Frank C. Astor, Bradley Fine, N. James Halliday

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


Certain head and neck surgical cases require the patient to be positioned prone. Such positioning carries with it an attendant subset of risks and complications not otherwise encountered in more traditional supine positioning. Gaining awareness of these risks and complications, and developing proactive positioning strategies, will enable the surgical team to position the patient optimally for the procedure and provide for every consideration of patient safety. This article consists of a specific literature review of those issues directly related to the anatomical and physiological concerns arising from prone positioning. Particular attention is paid to the cardiopulmonary, renal, ophthalmologic, and neurological vulnerabilities unique to this position. Proper planning by the surgical team and utilization of the correct equipment are a necessity. A tailored approach to the needs of the individual patient and an intimate awareness of the potential pitfalls will contribute to better outcomes when using the prone position.

Original languageEnglish (US)
Pages (from-to)1041-1045
Number of pages5
JournalHead and Neck
Issue number11
StatePublished - Nov 1 2007


  • Complications
  • Considerations
  • Positioning
  • Prone
  • Reconstruction

ASJC Scopus subject areas

  • Otorhinolaryngology


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