OPERATION OF LOWER JAW FRACTURE
Jaw fractures often occur due to an external puncture, often accompanied by tooth loss and fractures of the areas.
In the repair of jaw fractures, an incision is made through the mouth or through the skin to reach the fracture line. In addition, if it is necessary to obtain bone or tissue from another region, it may be necessary to cut from another region by informing the operating surgeon. The fracture will be corrected and detected using one or more of the following:
Titanium plates and/or screws
Fusible plate and/or screws
Metal arcs and wires applied to teeth
External fixator (externally applied fixation device)
Bone from another locality
Bone, cartilage, bone paste, bone dust from another person
Alloplastic materials such as silicone, porous hydroxyapatite, methyl methacrylate, titanium mesh
If they do not have a problem, they still stay in their lifetime. If a problem arises, a second operation mat be required to remove them.
SURGERY AND ITS STAGES
Surgery is often performed under general anesthesia in operating room conditions but may be applied under sedation and local anesthesia depending on the structure of the fracture.
An anesthesiologist will be asked to evaluate the patient before surgery.
The duration of surgery may vary according to the severity of fractures and other accompanying pathologies.
Your mouth may swell and blood can leak from the site of the incision in your mouth, probably within the first 24 hours. There will be swelling and bruises on your face and your cheeks. These swellings and bruises can be very much in accordance with operations performed in the surgery and sometimes according to the charecteristics of the person. To prevent some of the swelling in your mouth and on your cheeks, you may need to go to bed with 2-3 pillows to raise your head.
Usually you can be discharged within 1 or 2 days after surgery. This depends on how you feel about yourself, how much you have edema (swelling), and whether you have taken enough fluid from the mouth to not need intravenous fluids. In some cases, you may even be discharged on the same day.
In order to immobilize the post-operative fracture line, the teeth are fixed to each other with the help of splints. These tools help keep your teeth and your jelly motionless, properly positioned and protect the surgical site to ensure your healing. The need for splint may vary and may be discussed before surgery.
Mouth cleaning (hygiene) accelerates healing and is important in the last few days. Please rinse your mouth after each meal with plenty of water, then rinse your mouth again by preparing the medication or or disinfectant solution as described. After 3-4 days, gently brush your teeth wit your child’s toothbrush (small and soft) to clean your teeth. Make sure that you stay away from the incisions in your gums.
Nutritional style takes an important place in post-operative care. It usually takes about 10 weeks to feed from chewing. At least for the first 7-10 days after surgery you should be fed only with liquid foods. The doctor will tell you when you will go to the non-chewing type and how long will continue to do so. Continuing with non-chewing nutrition is very important in healing the bone- grafted area and/or jaw. Excessive movements in this area may distrupt the healing process. Your doctor will also help you with nutritional advice. Do not forget that the sweeteners and aromas have a tremendous value because they change food’s normal appearance. You should not be hesitant to try different spices. Spices such as irritated green pepper and hot sauce should be avoided.
We will advise you to use it for 7-10 days by diluting the solution you will use in the mouth for cleaning it during the day. You will also be gven a cream with petroleum jelly or petrolatum to drive your lips and you will be doing this on a regular basis.
You will receive antibiotics for certain period of time after surgery. Please take your medicines as prescribed until you are finished. It is very important that you take your medicines to prevent the development of an infection.
The stitches in your mouth are the type that can melt. They do not require any special maintenance other than keeping them clean. Again, it is very important to keep the inside of your mouth clean to prevent the bacteria from sticking to the stitches. If there is suture in the skin, it is usually taken in 5-7 days.
You will be away from your school for at least 2 weeks. You can return when you feel okay to go to the school, which usually happens after 2-3 weeks. Remember to take your liquid medicine and mouthwasher with you.
You should have a wire cuter and a rubber cutter in your home, and if you have nausea or dyspnea with your mouth set (intermedia detection) you should immediately cut the tires and wires.
Post-operative depression (self-depression due to morale) is common after any surgery. This depression is usually associated with post-operative appearance, discomfort and fear, activity and restriction of movements. These emotions will disappear when your appearance improves and returns to your normal activities.