jawsurgeryforums.com
General Category => Functional Surgery Questions => Topic started by: dardok on April 07, 2019, 01:15:43 PM
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I've pretty much done all my research and the next step would be just preparing the trip and scheduling a date.
However I find myself being in a period of extreme indecision. The thing I am most worried about is the anesthesia. I shared my plans with my parents and they have been sending me
surgery tragedies for the past half a year. I dont know if it is there fearmongering or just my own anxiety but I am deathly worried about the risks, to the point that I may say fk it to everything.
However at the same time I am sick and tired of living with this facial flaw and would do anything to get rid of it.
It seems the posters here have much bigger balls than me, so I am wondering if anyone has any input they would like to share.
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What kind of surgery?
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https://www.institutomaxilofacial.com/en/2018/07/25/la-osteotomia-en-forma-de-u-para-el-tratamiento-de-deficiencias-paranasales/
This one
My primary concern is the general anaesthesia, which will be the first time I do it and it will be in a foreign country (spain).
I know statistically it is uncommon to die from this but when I go online almost all deaths from surgery have been related to some idiot blunder in administering the anaesthesia.
I think the actual osteotomy itself will be fine as it is not so severe.
In reality this risk exists and I am voluntarily exposing myself to it, furthermore I will not be in control of any of this process unlike other risks for example, such as driving a car.
Sick and tired of my stupid face and the one stupid flaw it has.
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the risks are nearly nonexistant, most people who die from anaesthesia are either old are the doctors f**ked up.
its probably more dangerous to step out of the shower
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Being scared of jaw surgery and the outcome is natural. Anything else would be nonsense.
Being scared of the anaesthesia is nothing I can relate to though. On healthy people it's very safe. It's not very nice of your parents to use this against you. Would they do the same if it was a surgery they approve of, or is it just a way to talk you out of jaw surgery? In that case, ask them to cut the bulls**t and tell you what the real problem is so you have something to discuss.
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I'd be more concerned about a poor aesthetic outcome, nerve damage.
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yeah being scared of the anesthesia is like running through traffic and being scared of the wildlife.
Alfaros great though. Chances are, you're gonna have a good experience.
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there is ZERO reason to be afraid of this.
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This is just my opinion, but I would highly advise anyone NOT TO DO JAW SURGERY unless its medically necessary. I had both jaws advanced but it was super necessary as I was having extreme sleep apena. Even still, I wish I would have been able to try things like a CPAP more because the surgery is brutal. I wouldnt be worried about going under, but more the very long and painful healing process. And everyone can make mistakes, including surgeons! I have a big scar I shouldnt have because while I was under something was wrapped so tightly around my head that it tore skin off my chin, caused an infection there and will be scarred for life. It was also so right around my head that it caused two bald spots. I'm only on my 6th week but I regret the surgery and wouldnt want anyone I love going through this recovery. Its easier to recover from open heart surgery than double jaw surgery.
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This is just my opinion, but I would highly advise anyone NOT TO DO JAW SURGERY unless its medically necessary. I had both jaws advanced but it was super necessary as I was having extreme sleep apena. Even still, I wish I would have been able to try things like a CPAP more because the surgery is brutal. I wouldnt be worried about going under, but more the very long and painful healing process. And everyone can make mistakes, including surgeons! I have a big scar I shouldnt have because while I was under something was wrapped so tightly around my head that it tore skin off my chin, caused an infection there and will be scarred for life. It was also so right around my head that it caused two bald spots. I'm only on my 6th week but I regret the surgery and wouldnt want anyone I love going through this recovery. Its easier to recover from open heart surgery than double jaw surgery.
JS has many complications but I'd say yours are pretty unique. More relevant risks are numbness, functional damage, aesthetics and relapse.
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Relapse sounds the worse, but I dont think its possible with advancement. Both jaws would have to move themselves back! How ? Yeah, part of me joining is to see how usual or unusual my complications and post surgery symptoms are.
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Relapse sounds the worse, but I dont think its possible with advancement. Both jaws would have to move themselves back! How ? Yeah, part of me joining is to see how usual or unusual my complications and post surgery symptoms are.
Muscles pull the bones to the old position.
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Muscles pull the bones to the old position.
How long is the risk of relapse after surgery?
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How long is the risk of relapse after surgery?
Forever.
I know people who relapsed at 10 years.
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Forever.
I know people who relapsed at 10 years.
Can you elaborate? My understanding is that this only happens in cases of tmj inflammatory issues like rheumatoid arthritis.
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Can you elaborate? My understanding is that this only happens in cases of tmj inflammatory issues like rheumatoid arthritis.
From what I've been able to deduct, every case of late relapse I've seen has been due to joint changes.
Whether those joint changes came from jaw surgery, some other condition, or a combination of both, I don't know. Surgeons (good ones at least) diagnose joint problems ahead of time and inform the patient of relapse and/or possibly even limit the movements.
Open bites are notorious for relapse years after the surgery. From what I can tell from looking at x-rays of patients (i.e. people on this forum who sent me their records for opinion) with this type of relapse, it again looks to be at the joint.
In general, if your joints are healthy and you don't have an open bite, you'll experience most of your relapse in the first year or so. But as mentioned, muscles pull on bone, and in any battle of muscle vs bone the muscle always wins. This battle will take place until there is equilibrium in the forces, so time can vary.
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Forever.
I know people who relapsed at 10 years.
They have to wear a retainer at night for ever to make less the circumstance of relapse right?
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They have to wear a retainer at night for ever to make less the circumstance of relapse right?
That will keep the teeth from relapsing. Jaw relapse is usually at the joint level (skeletal relapse). The latter is usually do to large movements where the muscles "win" over the bony movements, causing changes in the joints.
Regarding ortho: many surgeons and even orthos think wearing a plastic retainer causes bite changes due to the space created by the plastic. This is probably especially true for open bite patients. A Hawley retainer is best if the person had an open bite and the bite fits well post surgery. If the teeth don't meet well you'll probably get an unnatural amount of extrusion with a Hawley since the teeth will want to touch. So not even all retainers are created equally when it comes to stability. If I had an open bite pre-surgery and my bite fit well after, I'd go Hawley. If you're a grinder that can pose some problems, too, though.
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That will keep the teeth from relapsing. Jaw relapse is usually at the joint level (skeletal relapse). The latter is usually do to large movements where the muscles "win" over the bony movements, causing changes in the joints.
Regarding ortho: many surgeons and even orthos think wearing a plastic retainer causes bite changes due to the space created by the plastic. This is probably especially true for open bite patients. A Hawley retainer is best if the person had an open bite and the bite fits well post surgery. If the teeth don't meet well you'll probably get an unnatural amount of extrusion with a Hawley since the teeth will want to touch. So not even all retainers are created equally when it comes to stability. If I had an open bite pre-surgery and my bite fit well after, I'd go Hawley. If you're a grinder that can pose some problems, too, though.
Thanx. Very informative.
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Forever.
I know people who relapsed at 10 years.
Thank you for your answer. Does that also apply to a chin wing?
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Thank you for your answer. Does that also apply to a chin wing?
I don't know much about chin wings, but I doubt it because most changes occur with the bite and at the joint. The chin wing shouldn't mess with either. If the chin wing has huge advancement, maybe in theory it could relapse where the cut was made if there's enough muscle tension to override the fixation. That seems unlikely to me, but in theory I guess it's possible.
Maybe ask a surgeon who does chin wings for a definitive answer. Mine is just a deduction.
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From what I've been able to deduct, every case of late relapse I've seen has been due to joint changes.
Whether those joint changes came from jaw surgery, some other condition, or a combination of both, I don't know. Surgeons (good ones at least) diagnose joint problems ahead of time and inform the patient of relapse and/or possibly even limit the movements.
Open bites are notorious for relapse years after the surgery. From what I can tell from looking at x-rays of patients (i.e. people on this forum who sent me their records for opinion) with this type of relapse, it again looks to be at the joint.
In general, if your joints are healthy and you don't have an open bite, you'll experience most of your relapse in the first year or so. But as mentioned, muscles pull on bone, and in any battle of muscle vs bone the muscle always wins. This battle will take place until there is equilibrium in the forces, so time can vary.
Well, this is depressing.
Odd question - I typically train my neck as part of my weight lifting routine (usually neck curls, so the sternocleidomastoid muscle). Do you think this could increase the chance and/or degree of relapse by strengthening muscles in the area? Or do only the masseter and tiny TMJ muscles matter.
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Do you think this could increase the chance and/or degree of relapse by strengthening muscles in the area? Or do only the masseter and tiny TMJ muscles matter.
I'm not sure.
My guess is there's a gradient where eventually one muscle transitions to another and it's effect on the ones surrounding it are close to zero, though it's probably never fully zero at that transition line. Asymptotic curve, probably.
I'm basing this off a calf injury I had, and the orthopedist suggesting as much. It would be best to ask a surgeon...a curious one who thinks about those types of things. Many don't.