Removal of jaw surgery plates

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oakwood1
Posts: 5
Joined: Sat Jan 16, 2010 5:47 pm

Removal of jaw surgery plates

#1 Post by oakwood1 »

I had a Le Forte upper jaw surgery several years ago and am now having the plates and screws removed as a last resort to see if the screws are causing my severe and frequent sinus infections.

Has anyone had their upper jaw surgery plates removed? I am wondering just how bad the recovery from this is, specifically how much pain, facial swelling, and facial numbness to expect.

trish222
Posts: 103
Joined: Wed Sep 16, 2009 2:15 pm

#2 Post by trish222 »

Hey-don't know about upper plates yet but I did have a lower, chin plate removed about 3 and a 1/2 months post-op, along with 6 screws. That surgery was a piece of cake. I could have went to work the next day and their was not swelling. It was done in surgeon's office. I was out within a couple of hours. I am now going to have the bottom 6 remaining screws in the back of my lower jaw removed Feb 9th. This requires that it be done it the hospital and suspect it may be a little more entailed than the office procedure. That would be terrible if the plates were causing the sinus infections. What makes you believe that this is the case? Best wishes and prayers

oakwood1
Posts: 5
Joined: Sat Jan 16, 2010 5:47 pm

#3 Post by oakwood1 »

I've had sinus infections for the past 11 years. I have the plates/screws for 17 years. My ENT doctor has tried about every therapy/medication possible to keep me from getting infections and antibiotics to get rid of the infections. I am now having antibiotic complications and antibiotics that no longer work because I've taken them too frequently. My oral surgeon has had patients that had sinus infections after getting the plates placed. It is just a guess if the plates are the cause of the infections and as I said a "last resort" to remove them.

mwp921
Posts: 22
Joined: Tue Apr 29, 2008 7:26 pm

#4 Post by mwp921 »

I had one lower plate & screws removed in October. Piece of cake compared to the original surgery!! I had a good bit of swelling and discomfort, but it was manageble and short lived. I had the plate removed on a Friday morning and returned to work on Monday.
Braced: May 2008
Lower Jaw Advancement: August 2009
One Miniplate Removed: October 2009

oakwood1
Posts: 5
Joined: Sat Jan 16, 2010 5:47 pm

#5 Post by oakwood1 »

Just a post surgery follow-up note: I had my upper jaw plates removed 2 weeks ago. The recovery is much slower that what people describe of the lower jaw plate removal. I found that I have had about as much swelling, pain, and facial numbness as the original surgery. Just what I feared. This time I also had a large bruise on my face. I was off work for 1 week and needed steroids to get the swelling to go down. Part of my face is still numb and I expect it will be for at least a couple more weeks. I wouldn't recommend plate removal unless you absolutely need it done.

trish222
Posts: 103
Joined: Wed Sep 16, 2009 2:15 pm

#6 Post by trish222 »

So sorry to hear that it was so uncomfortable. I would imagine that the upper would be more difficult that our lower surgeries. I hope after all this that it helps with your sinus infections. Prayers and good wishes to you.

oakwood1
Posts: 5
Joined: Sat Jan 16, 2010 5:47 pm

#7 Post by oakwood1 »

I just wanted to post a follow-up on my surgery. I got back to normal after about 2 months. I got back almost all of the sensation in my face. I always had some numbness (in one small area) after the original Le Forte surgery, but now there is very slightly numbness to the gum area under my lip. Best of all, so far after 5 months, I haven't had a sinus infection, but I need to go many more months before I will consider my sinus infections cured.[/u]

asmileconnectsus
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#8 Post by asmileconnectsus »

Congrats on the lack of sinus infection & thanks for posting an update :)

chipmunkcheeks
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wondering...

#9 Post by chipmunkcheeks »

i have had bad sinus pressure, several sinus infections, vertigo, even nauseous to the point of throwing up ever since surgery 2 years ago. I also have upper plates and screws. I think I am going to ask my surgeon about this when I see him this summer for a final look at everything since I just got everything done with in April (yes, it was a long road even after surgery). Has anyone else had this problem as well? I have NEVER had a sinus infection before all of this was done (SARPE, BSSO, LF1, Genio).....just wondering....

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vincejawsurgery
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#10 Post by vincejawsurgery »

When I did my double jaw surgery 13 days ago, I only had plates and screws installed on my upper jaw.

I may remove them a few years after my jaw surgery. Depending on how I feel.

freakyteeth
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Location: Michigan
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#11 Post by freakyteeth »

The screws from my 1st surgery have migrated up through the gums, so I had them removed at my second surgery. It felt so much better.

Now after my second surgery, the ENTIRE PLATE holding my chin on is sticking out of my gum a few mm's. Just paged the surgeon on call.

Sigh.
Braces 1986 & Sept 2007 (age 34)
severe class II impinging overbite
17 missing teeth (genetically)- AXIN 2 genetic mutation
Jan 2010 - genioplasty w/mandibular bone graft (from chin bone)
Jul 2010 - 4 mandibular implants. FAILED
Oct 2010 - re-placement of 3 implants, hardware removal
03/29/2011 - BSSO and 3 piece Lefort I
Sept 2012 - Upper jaw - 4 implants w/bone graft.
Jan 2016 - upper hardware removal, extensive upper bone graft

balor124
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Joined: Fri Sep 20, 2013 7:54 am

Re: Removal of jaw surgery plates

#12 Post by balor124 »

How is it possible to have double jaw surgery but only have plates on one jaw? I wonder if removing the plates might have been easier had it been done in the first year.

My surgeon offered to use biodegradable plates and screws but they're contraindicated for the mandible by themselves. I was thinking to ask to have them removed in a 2nd surgery but if these statements are true then another option exists. Biodegradable upper and mix of biodegradable and titaniium lower. If the lower surgery isn't that bad, then it seems like a good option. Surgeons I've met seem to have little to no experience or interest with biodegradable, though they're routinely used in children and in other parts of the body. Only thing I wonder is whether they fully degrade, as bone grows around them within a year and they don't fully degrade until 2 years. Also, whether the holes left fill in with soft tissue or bone.

sirwired
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Re: Removal of jaw surgery plates

#13 Post by sirwired »

balor124 wrote:How is it possible to have double jaw surgery but only have plates on one jaw? I wonder if removing the plates might have been easier had it been done in the first year.

My surgeon offered to use biodegradable plates and screws but they're contraindicated for the mandible by themselves. I was thinking to ask to have them removed in a 2nd surgery but if these statements are true then another option exists. Biodegradable upper and mix of biodegradable and titaniium lower. If the lower surgery isn't that bad, then it seems like a good option. Surgeons I've met seem to have little to no experience or interest with biodegradable, though they're routinely used in children and in other parts of the body. Only thing I wonder is whether they fully degrade, as bone grows around them within a year and they don't fully degrade until 2 years. Also, whether the holes left fill in with soft tissue or bone.
I suppose a surgeon could use pins instead of plates for the lower.

As far as why absorbable plates/screws aren't used? The jaw is under tremendous stress; the jaw muscles are the strongest in the body by a substantial margin; it's easy to exert hundreds of pounds of force without even trying hard. (There's a reason the teeth are the strongest bones! Chewing is TOUGH.) A common act for a circus strong-man used to be towing a railroad car with a cable stuck in a bite-piece; trying to do that with your arms would never work; your shoulders would give out. "In Titanium We Trust" is not a bad motto for a jaw surgeon to have.

Star2Baby
Posts: 1
Joined: Wed Apr 08, 2015 6:05 pm

Re: Removal of jaw surgery plates

#14 Post by Star2Baby »

[quote="balor124"]How is it possible to have double jaw surgery but only have plates on one jaw? I wonder if removing the plates might have been easier had it been done in the first year.

My surgeon offered to use biodegradable plates and screws but they're contraindicated for the mandible by themselves. I was thinking to ask to have them removed in a 2nd surgery but if these statements are true then another option exists. Biodegradable upper and mix of biodegradable and titaniium lower. If the lower surgery isn't that bad, then it seems like a good option. Surgeons I've met seem to have little to no experience or interest with biodegradable, though they're routinely used in children and in other parts of the body. Only thing I wonder is whether they fully degrade, as bone grows around them within a year and they don't fully degrade until 2 years. Also, whether the holes left fill in with soft tissue or bone.[/quote]
Hi Balor123 - Is your surgeon in the U.S. I would like to find a surgeon who would consider bioegradable plates and screws.

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