(Orthognathic Surgery; Maxillofacial Surgery; Maxillary Osteotomy; Mandibular Osteotomy)
- Maxillary osteotomy—upper jaw
- Mandibular osteotomy—lower jaw
|The Upper and Lower Jaw Bones|
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Reasons for Procedure
- Difficultly chewing or biting
- Speech problems
- Challenges with breathing
- Problems breathing during sleep such as sleep apnea
- Jaw pain
- Facial injuries
- Birth defects
- Genetic conditions
- Bone disease or conditions that affect bone growth
- Numbness or pain in sinuses, ears, or teeth
- Excess bleeding
- No improvement in symptoms
- Poor cosmetic outcome
- Adverse reaction to anesthesia (such as light-headedness, low blood pressure, wheezing)
- Nausea and vomiting
- Bleeding disorders
- Medical problems, such as heart disease
What to Expect
Prior to Procedure
- Aspirin and other nonsteroidal anti-inflammatory drugs (such as ibuprofen, naproxen)
- Blood-thinning drugs, such as warfarin
- Anti-platelet drugs, such as clopidogrel
Description of the Procedure
- Removing a section of bone
- Separating a portion of the jaw so that is can be moved backward or forward
- Reattaching the new edges of bone with metal plates, screws, or wires
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Follow your doctor’s instructions on cleaning the incision site.
- Avoid strenuous activity until your doctor says it is safe to do so.
- Avoid using tobacco products.
- Be sure to follow your doctor’s instructions.
- Medication to decrease this pain
- Applying ice to the area in the first few days
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, a lot of bleeding, or discharge from the surgery site
- Foul smelling breath
- Nausea and/or vomiting that you cannot control with the medicines you were given
- Pain that you cannot control with the medicines you were given
- Spitting or vomiting blood
- New, unexplained symptoms
American Academy of Periodontology http://www.perio.org
American Association of Oral and Maxillofacial Surgeons http://www.aaoms.org
Canadian Dental Association http://www.cda-adc.ca
The Canadian Dental Hygienists Association http://www.cdha.ca
Corrective Jaw Surgery. American Association of Oral and Maxillofacial Surgeons. Available at: http://www.aaoms.org/conditions-and-treatments/corrective-jaw-surgery. Accessed August 23, 2012.
Home care after surgery. Fallon Oral Surgery of Syracuse. Available at: http://www.fallonoralsurgery.com/forms/Home%5FCare%5FAfter%5FSurgery.pdf. Accessed August 23, 2012.
Jaw Surgery. University of Pennsylvania Health System—Plastic Surgery. Available at: http://www.pennmedicine.org/plasticsurgery/recon/jaw.html. Accessed August 23, 2012.
Orthognathic surgery. Lucile Packard Children’s Hospital at Standford. Available at: https://www.lpch.org/DiseaseHealthInfo/HealthLibrary/dental/maxfac.html. Accessed August 23, 2012.
Orthognathic surgery. Harvard Oral and Maxillofacial Surgery. Available at: https://www2.massgeneral.org/homfs/procedures%5Forthognathic.asp. Accessed August 23, 2012.
Oral wound care after Mohs Surgery. University of Wisconsin-Madison. Available at: http://www.uwhealth.org/healthfacts/B%5FEXTRANET%5FHEALTH%5FINFORMATION-FlexMember-Show%5FPublic%5FHFFY%5F1122504649806.html. Accessed August 23, 2012.
- Reviewer: Igor Puzanov, MD; Brian Randall, MD
- Review Date: 03/2013 -
- Update Date: 00/51/2013 -