Confessions Of a Metal Mouth
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Surgeon Consult Day!

4/17/2013

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My derailed jaw surgery train has started to find it's way back on the tracks again...... but mostly because it has to.  I have my first appointment today with the surgeon, and I want to walk out of there making a decision if I am going to go through with this or not.  After countless hours of research over the last 3-4 months, reading so many blogs, talking to patients in person, and trying to look up every ounce of info I can, I feel like I should be able to walk out of this guys office with a decision.  Then I can walk right over to my orthodontists office and make an appointment to start my treatment: invisalign if I am not going with surgery, and traditional braces if I am going surgery.  So, by the end of the month I should have one or the other in my mouth.  Scary, yet exciting.

I've compiled a list of questions to ask the surgeon.  Some of these I kind of already know the answer to from all my research, but I want to hear everything from him:



  • What type of surgery do I need? (BSSO, Lefort 1/2, etc)
  • Orthodontist says I might be able to get away with upper jaw only—what are your thoughts?
  • How much movement and what kind?
  • What are the chances of permanent numbness?  If high, is it typically debilitating?
  • Does age and amount of jaw moved increase risk of numbness?
  • How long does surgery take?
  • How long in hospital?
  • Will this fix clenching and related headaches?
  • Will this fix my lip incompetence?
  • Where do you do surgery?  Is this the only place you do this surgery?  How often?  Do you work with the same team day in and day out?
  • How long of a hospital stay?
  • Will the plates/screws effect any of my activities?
  • Will I need a splint?
  • What reasons medically will I benefit from this procedure?  Will I have TMJ down the road?  Arthritic jaw joints? 
  • Will this help my breathing when I sleep?  I’m an open mouth sleeper/snoorer.

On a totally different note-- my knee has finally felt like there is some improvement.  I'm about 5 weeks post injury, so I was hoping for some kind of sign soon.  Hopefully this means I can worry less about knee surgery stuff and concentrate more on my jaw and orthodontist stuff.  :)
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