Search found 9 matches

by Propofolboy
Wed Jun 28, 2006 9:29 am
Forum: Oral (Orthognathic) Surgery
Topic: UK Orthognathic Patients?
Replies: 14
Views: 3442

Hi there. I'm not from the UK but had a very similar problem. Anterior open bite, about 11 mm. Only touching on my wisdom teeth initially. Had 8 extractions (4 bicuspids, and 4 wisdom teeth). Then 12 months in braces to close lower gap (from bicuspid), and then to segmentalize the uppers into 3 leve...
by Propofolboy
Fri Jun 23, 2006 7:43 pm
Forum: Oral (Orthognathic) Surgery
Topic: Question about outpatient surgery
Replies: 12
Views: 2456

And remember, a lower jaw is much less risky surgery than an upper jaw.. let alone both upper and lower together. During upper jaw surgery we often run controlled hypotension (ie we put in a special monitor to monitor blood pressure closely, and then run the blood pressure quite low to minimize blee...
by Propofolboy
Fri Jun 23, 2006 9:22 am
Forum: Oral (Orthognathic) Surgery
Topic: Question about outpatient surgery
Replies: 12
Views: 2456

Biggest problem is swelling afterwards. Rarely can lead to some airway obstruction especially when narcotics (ie morphine) are given. When it happens is a true emergency and requires patient to be reintubated (breathing tube placed), or very rarely a trach (never seen that necessary but KNOW it coul...
by Propofolboy
Thu Jun 22, 2006 5:12 pm
Forum: Oral (Orthognathic) Surgery
Topic: Question about outpatient surgery
Replies: 12
Views: 2456

Hi Anabel. I actually had maxillary osteotoies myself about 6 weeks ago and went very well. I am an anesthesiolist and give anesthetics for upper and lower osteotomies quite routinely. My professional opinion is that upper and lower osteomoties is ABSOLUTELY NOT an out-patient surgery. I have seen s...
by Propofolboy
Sat Jun 03, 2006 11:46 am
Forum: Oral (Orthognathic) Surgery
Topic: Mouth Opening after Orthognathic Surgery
Replies: 5
Views: 6976

Mouth Opening after Orthognathic Surgery

Hi everyone. I am now 4 weeks post op of a maxillary osteotomy (lefort 1) for an open bite. Everything seems to be healing well. However one thing that concerns me is my mouth opening. I am only able to open my mouth enough to get maybe 1.5 fingers in it. If I stretch anyfurther there is pain into m...
by Propofolboy
Wed May 10, 2006 12:55 pm
Forum: Oral (Orthognathic) Surgery
Topic: Maxillary Osteotomies POD #2 for Major open bite
Replies: 9
Views: 9229

Ok so I am now POD #5. Swelling is going down, and I'm starting to notice some brusing (orange in my cheeks). Having no paid. Had my heavy elastics off today, and brushed inside of my teeth for first time. The surgeon was happy with result and has now put me in light elastics that I can take off for...
by Propofolboy
Tue May 09, 2006 8:31 am
Forum: Oral (Orthognathic) Surgery
Topic: Maxillary Osteotomies POD #2 for Major open bite
Replies: 9
Views: 9229

Ok, so I am now post op day #4. My swelling is pretty much the same, however I have a lot more feeling in my upper lip and face. Despite this I really don't have much pain. I have a huge bruise where I had an arterial line in my wrist (they did controlled hypotension during the surgery to reduce ble...
by Propofolboy
Sun May 07, 2006 2:58 pm
Forum: Oral (Orthognathic) Surgery
Topic: Maxillary Osteotomies POD #2 for Major open bite
Replies: 9
Views: 9229

Thanks for the replies. Just a couple things that I have found invaluable in the last couple days for anyone having surgery. First and foremost make sure you have a REALLY REALLY good blender. I purchased a Vita-Mix 5000 which is a 2 horse power industrial blender. I definately recommend this produc...
by Propofolboy
Sun May 07, 2006 6:12 am
Forum: Oral (Orthognathic) Surgery
Topic: Maxillary Osteotomies POD #2 for Major open bite
Replies: 9
Views: 9229

Maxillary Osteotomies POD #2 for Major open bite

Hi everyone. I am freshly post op from multi piece maxilary osteotomies to correct my open bite. Here is my original bite! This is with my teeth closed! http://img376.imageshack.us/img376/4241/original0yb.jpg Here I am 1 month after 8 extractions (wisdom teeth and 4 bicuspids) and one year and 2 mon...