Braces on for 2 yrs 10 months
Double jaw surgery at AH on a Wed afternoon, November 2009.
Day before Op : Visit to anaesthetist, did E.C.G test, given estimated bill of $3675 for estimated 3 days stay.
Surgery day : Reached hospital at 11am, changed to surgery attire, paid $1700 initial op fee. Op at 12+pm, 2hrs on upper jaw (Lefort I), 2hrs on lower jaw (BSSO). Rested abt 3 hrs ? til wake-up. Immediately wheeled to High-Dependency ward. Developed normal post-op infection (37.6 degrees fever) quickly subsided by night. Parent visited me that night as well. Attached wif IV drip (glucose + antibiotics), oxygen mask, breathing tube in left nostril. By night time, all removed except IV drip.
Appearance: Plastic splint template guide put between upp and lower teeth to stabilise new bite. Tied up wif rubber band tightly
Swelling : Cheeks swelled a bit. Lower lip swell severely compared to upper lip. Lower Lip has many blood stains and tears due to stretching of mouth during Op.
Photo on right was taken 7 days after op just before leaving home for my first post op review. Notice the lower lip swelling has subsided.
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Numbness: Lower lip, chin, right nostril, face area beside right nostril. May take 6 months - 1 year to subside...
Pain: Insignificant. Mainly is discomfort due to numbness.
Post-Op day 2: Moved to general ward. Open-air fan ventilated 6 bed ward. Fed 1 bowl of red-bean soup + apple juice (1 meal) and 1 cup of Tea-O (tea without milk) (snack) . Felt very bored, can't wait to discharge. Visited asst. dental surgeon at 1pm. Told can be discharged abt 5pm. Waited til 8pm. Signed discharge form , collected medication at pharmacy and hospitalisation leave cert of 23 days.
Post-Op days 3-4 : Liquid diet for 1st week means feeling hungry often. Have to feed every 2 hrs. Fed on Milo, home-made potato (soup/mashed & sieved), 3-in-1 cereal, home-made Porridge with fish/chicken (mashed & sieved). Medication taken every 8 hrs immediately after food - combination of crushed pills of Amoxycillin, Mentronidazole, Neuroforte.
Post-Op day 5: Body seemed to adjust to liquid diet, hungry less often
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Lower lip swelling gone. Less blood stains and tears on lower lip.
Post-Op day 7: Weight loss abt 5 kg...became underweight.
1st Post-Op review..... new bite is stable but extends 2 more days jus to play safe. Plastic splint removed but teeth still tied up.
Post-Op day 9: 2nd review
Teeth untied and elastic bands nicknamed "rabbit" and "Penguin" used.
Switch to soft diet
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Elastic bands are removed temporarily during eating and brushing. Food needs to cut to small pieces. Teeth can only open up to one index finger (vertical placement). Medication can be taken in pill form
To be continued...