Airway management in maxillofacial surgery is vital due to the anatomical complexities and high risk of airway compromise. This review highlights the importance of thorough preoperative assessment, tailored intraoperative strategies (including various intubation and surgical airway techniques), and vigilant postoperative care. Extubation is a critical phase requiring careful planning. A multidisciplinary, evidence-based approach is essential to ensure patient safety and optimize outcomes.