My Surgery DISASTER!

This forum is for discussions relating to oral surgery for orthodontics.

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#31 Post by Happysmiler »

Oh dear, you poor thing, I really do feel for you.

I just wanted to say that while I was in London having my upper jaw surgery, the girl in the bed beside me had to have a repair done to her condular joint (the hinge part of the jaw) She had been operated on externally but her incision was so neat. It literally follows the shape of the ear, so its not like a straight scar. It curves around the shape of the ear so really fades to virtually nothing and totally blends in (even when it was 1 day old it wasn't highly visible).

I hope this encourages you a little - these surgeons are so good.
I agree it must be so distressing to hear you need this second surgery, but I'm sure your surgeon is exceptionally good and that the problem that has occurred is bad luck rather than his lack of skill.

I suppose the risk to the corner of the mouth drooping is because the nerves that are located on the outside of the face are the muscle movement controlling ones, rather than the ones inside which are the sensation ones. Again, they will do everything to ensure that this is not severed, I'm sure it is just one of those things they have to tell you is a risk, although hopefully a very very slim chance of actually doing it.

Best wishes, try to stay as positive as you can at this really challenging time.




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#32 Post by BracedforSurgeryUK »

Thanks again all for good wishes, it means a lot.

I've just been for another visit to my surgeon, he had the diagrams from the CT scan. It turns out the right hand jaw has slipped out of it's socket (or condular joint), In addition to the incision below my ear on the jaw line there is likely to be another incision above and around the ear. Happysmiler - it's sounds almost the exact same procedure as the girl you met in hospital had.

In addition to the above the screws and plates on the left side, (the side with no problems) have to be realigned again to 'match' the correction on the right side.

I was very reluctant to undergo further surgeon said if I just left it , it would cause me problems in the future and could lead to my jaw becoming 'inactive' and needing to be completely replaced .:o He bought of of his colleagues in for a second opinion, who confirmed it was best to go ahead and fix the displacement of the jaw.

My surgeon called it a "unlucky" and "unique" situation. He then went on to say it is going to need all his skill and expertise to fix it! :shock: :o :o needles to say this has only made the anxiety worse.

He says he will see me first so there is no waiting around and so him and all his staff are 'fresh for the task'. I asked him how long it would take, he said could be anything upto 6 hours. He says he isn't going to rush and if needs be will cancel any remaining appointments for that day.

The nightmare goes on and keeps getting worse. I'm hoping next time I post there will be good news and can say the surgery went well (it's on thursday)..but naturally I'm expecting there to be more problems of some variety. :(

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#33 Post by Happysmiler »

What a nightmare for you, you poor thing. I can only imagine how terrible you must be feeling right now, but it will all be over in a few days.

All I can say to offer words of advice, is that these maxillofacial surgeons are the ones that are able to fix peoples faces who have been in accidents involving multiple facial bone fractures. I read about one in London who operated on a patient who had broken virtually every bone in the face and they did an amazing job.

I think the standard procedures that most of us on this board have are pretty routine to them, so yours is more of a challenge, but I'm sure it is something that will be fixed for you.

I will be keeping everything crossed on Thursday for you!

Best Wishes



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#34 Post by sauerkraut »

Wishing you all the best for tomorrow, BfS. Post when you can to let us know how it went. Try not to worry -- the surgeons are obviously going to take the very greatest of care :thumbsup:

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#35 Post by BracedforSurgeryUK »

Hi all,

Good news - the surgery was a success :D The right jaw fragment has been 'locked' back into placed and fits how it should into the hinge (condular) joint. My surgeon said it was the most difficult operation of it's type he has ever had to do but was happy with the results. Phew!

The night on the ward after my surgery was the worst of my life. My surgeon had gone so could only send a junior to reassure me that it gone ok. But she was unsure as the bite was still favouring the left hand-side. my blood-pressure was at 180/40 all night and i didn't get any sleep.

The next day the surgeon came in epsecially early and advised me it was a success. He advised the bite was favouring the left due to swelling on the right and said elastics would even it up...he went onto say he was very happy with the results and had 'no concerns'.

I had a rough weekend at home mostly due to the after-affects of the anthestetic. I went to see my surgeon again today who removed the stitches from the wound which extends from my ear to half way down my jaw line. He said everything was healing fine. I am however having to wear light elastics to bring the bite on the right toghether so the first contact isn't favourable on just the left. He assured me this is ok and it would come toghether within the next few weeks! My ortho also came in and I have an appointment for 10 days time so he can resume to final part of the brace work!

With regrads to the facial nerves and 'droopy smile', the surgeon did say the nerve became 'streched' during the op but there was no damage, and there is no visible affect on my smile. Which again is good news.

So assuming the bite falls back into place on the riht side which i am assured it will do all is fine and dandy. The only other risk I have is that of plate infection. Apparently the risk of infection is higher when you've had to go 'back in' and realign so i'm hoping this doesn't happen.

But all in all i'm happy with everything in a lot better spirits. I'm still questioning having the work done however but maybe later down the line i'll change my view. (when i get the braces off probably lol)

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#36 Post by BracedforSurgeryUK »

double post

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#37 Post by descantus »

Hi Braced,

I was almost too frightened to open your new post, but its excellent to hear it went so well. Good thoughts coming your way for a swift but uneventful recovery!

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#38 Post by FuzzyPants »

What a relief! I'm glad that this surgery is over and you can look forward to healing.
Braced October 17, 2007
BSSO and Lefort August 13, 2008
De-braced November 24, 2008

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