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Before Surgery

Prior to surgery, care and preparations are related to oral health conditions. Your mouth must be in perfect condition, you must not have inflamed gums. Hygiene by your dentist is recommended and possibly the replacement of some fillings, remember, if you have a filling we must take a new impression or mold since it will change the shape of the teeth a bit._cc781905-5cde-3194-bb3b- 136bad5cf58d_

Prior to your surgery we will install some retainers or hooks, so you must attend your maxillofacial clinic the week before.

The specific preparations are in charge of your maxillofacial surgeon and orthodontist. They consider some impressions, 2d and 3b facial photographic records, a tomography and 3d records of your mouth and teeth . We will review in detail what will happen in your postoperative period and we will clarify all your concerns.

Your surgeon will request laboratory tests, an electrocardiogram, a scanner (tomography or cone-beam) and consultations.

Finally, a surgical guide will be tested that will be used during surgery.

Prior to surgery, you must fast without solid, semi-solid and liquid food for 8 hours.

First day of surgeryduring hospitalization



During hospitalization, immediately after surgery, you will be in charge of your clinic team. There are resident doctors, nurses and nursing assistants who will try to follow the instructions of your surgeon and anesthetist. They will help you and resolve all situations during your hospitalization. Your surgeon and anesthetist leave precise instructions regarding your diet and medications.

All concerns at this stage must be channeled directly to the clinic following the resident nursing protocol.

The first day is the most uncomfortable day, the nose will feel very stuffy. It should not be blown, that could cause bleeding. The sensation of anesthesia in the mouth is normal, the throat may feel irritated and some mild pain in the forehead and neck. The pain is tolerable and is managed with painkillers. It is common and normal that when trying to bite you feel something strange, you must not force the bite. Your supervising surgeon will do what is necessary to make sure everything is fine.

As long as he is operated on he can talk, it is essential to eat and drink fluids as long as the clinic nurse authorizes it.

Liquids must be incorporated with a syringe. The use of light bulbs is complex and cumbersome.
Remember to keep local cold intermittently for the first three days.

Your lips will be chapped and need you to constantly apply creams, lubricants, or ointments (Vaseline, betamethasone, bleastek).

Remember that you can now urinate normally, it is advisable to drink a lot of fluids and you must walk to resume your physical activity.
 
WE REMIND YOU THAT STAYS IN CLINICS OR HOSPITALS SHOULD BE AS SHORT AS POSSIBLE AND INDICATED BY YOUR TRAFFICIER. THAT WAY THE FINAL RECOVERY WILL BE MUCH FASTER BECAUSE YOU WILL BE ABLE TO RESUME ACTIVITY AND MOBILITY 


First week after surgery
Repose

Rest in most cases is relative. This means that you should be at home without vigorous physical activity, but you do not need to be in bed. To the extent that the patient is mobilized, a faster recovery will occur. When sleeping, you can do it with a double pillow in such a way that venous return is favored and thus inflammation decreases.

The patient can speak, to the extent that he does so  will mobilize the facial muscles and help to recover function and gradually reduce inflammation. It is advisable to carry out facial exercises in front of a mirror, making gestures of laughter and kisses. In this way the function is activated and it will be an ideal complement to the kinesiological work indicated by the treating surgeon.

oral hygiene

The patient must have a new and clean toothbrush, cleaning with chlorhexidine mouthwashes is recommended, postponing the use of toothpaste since it can be irritating and generate uncomfortable foam. For a couple of weeks let's suspend the toothpaste.
If you want to improve and facilitate oral hygiene, you can look for a team called WaterPek. 

Feeding

Feeding should be advised by your treater. We remind you that this information is for reference only.

The main concept is that with these surgeries and with proper care and advice they should not lose weight.
It is essential not to eat at espacios  times as we usually do. It must be a continuous feeding in small portions.
Generally the first week is recommended liquid feeding with lots of dairy products and professional supplements such as ENSURE. There are sports supplements that are often not designed for these situations. For this reason, we recommend special advice from your health care provider and nutritionist. 

The second week is the time to start building consistency. They can already be porridge but well diluted. Legumes and other protein foods.

The third week is the beginning of the change. Things happen like the beginning of the decrease in facial inflammation. The corners and lips are in better condition, there are no more stitches and we are in a phase of facial and muscular exercises. At this time it is recommended to increase the consistency. Not foods that require strength to chew but those that can be bitten gently such as potatoes, chicken, fish, eggs...
After the fourth week we begin the RE-INCORPORATION. We must resume our usual work activities and resume sports that do not imply the danger of blows to the face.

We remind you that from 90 days the bones are consolidated and are practically the same in resistance prior to surgery.


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