Post-Operative Care

Orthognathic Surgery (Protrusion/Retrusion Correction)

Potential Post-Surgical Symptoms

Common Symptoms Following Orthognathic Surgery (Protrusion/Retrusion Correction)
- Pain and Swelling: Soreness and swelling in the jaw area are common occurrences, typically peaking on the 2nd or 3rd day post-surgery and gradually subsiding within the first week.
- Numbness or Tingling: Some patients may experience numbness or a tingling sensation in the lower lip or chin. This condition is usually temporary and will improve over several weeks to months.
- Difficulty Opening the Mouth and Swallowing: Due to swelling and pain, wide mouth opening or swallowing may be difficult in the initial days following surgery.
- Minor Bleeding: A small amount of bleeding may ooze from the surgical site during the first few days. If bleeding is prolonged or excessive, immediate contact with the doctor is necessary.
- Difficulty Eating: Patients typically need to follow a liquid and soft food diet in the initial days to avoid affecting the surgical area.
⚠️ Signs Requiring Attention
- Infection: High fever, redness, increased pain, or pus at the surgical site may indicate an infection.
- Uncontrolled Bleeding: If bleeding is heavy and cannot be stopped with gentle pressure, immediate medical attention is required.
- Prolonged Numbness: If the numbness does not subside after several months, it is advisable to consult a doctor for further evaluation.

6 Principles

Principles to Adhere to Following Surgery

Cold Compresses: During the first 2–3 days post-surgery, gently apply an ice pack to the outside of the surgical area for approximately 15–20 minutes at a time, followed by a 20-minute break, and repeat. This effectively helps reduce swelling and pain.

Warm Compresses: From the 4th day onwards, if swelling has decreased, you can switch to warm compresses to promote blood circulation and alleviate pain.

Soft and Liquid Foods: For the first 4–6 weeks, consume porridge, soup, milk, and other soft, easy-to-swallow foods to minimize pressure on the jaw area.

Mouth Rinsing: During the first week, gently rinse your mouth with physiological saline solution or an antiseptic solution such as Chlorhexidine after each meal and before bed to maintain hygiene and prevent infection.

Brushing Teeth: After approximately 10 days, once the surgical site has stabilized, you can begin brushing your teeth gently with a soft-bristled toothbrush, avoiding the surgical area.

Limit Strenuous Activities: Avoid strenuous activities, loud laughing, talking loudly, or wide mouth opening for at least 1 week post-surgery to prevent affecting the surgical area.

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Post-Surgical Dietary Regimen

✅ Foods to Include
1. Soft, Liquid, Easy-to-Swallow Foods:
  - In the first 1–2 weeks, prioritize dishes such as thin porridge, soup, milk, and fruit juices to reduce pressure on the jaw area and aid digestion.
2. Calcium-Rich Foods:
  - Help regenerate bone and heal surgical wounds. Calcium sources include milk, soy milk, kale, broccoli, and tuna.
3. Magnesium and Phosphorus-Rich Foods:
  - Support calcium absorption and maintain bone density. These can be found in mackerel, shrimp, okra, oats, and chicken eggs.
4. Zinc-Rich Foods:
  - Promote Vitamin D activity and support enhanced calcium absorption. Zinc sources include beef, oysters, lentils, potatoes, and cashews.
5. Vitamins D, B6, B12:
  - Enhance resistance and support the recovery process. These can be supplemented through salmon, clams, beef, milk, and eggs.
6. Drink Sufficient Water:
  - Maintain at least 2 liters of water daily to support metabolic processes and recovery.
❌ Foods to Avoid
- Foods That Can Cause Scarring and Itching:
  - Seafood, water spinach, glutinous rice, beef, and chicken may cause inflammatory reactions or delay wound healing.
- Hard, Chewy, and Sticky Foods:
  - Avoid foods such as sugarcane, gummy candies, and hard bread to prevent putting pressure on the healing jaw area.
- Foods That Are Too Hot or Too Cold:
  - Can dissolve blood clots and cause bleeding at the surgical site.
- Alcoholic Beverages and Stimulants:
  - Alcohol, beer, and tobacco can disrupt metabolic processes and prolong recovery time.
- Fatty and Sugary Foods:
  - Impede calcium absorption and create an environment for bacteria to grow, delaying wound healing.

Frequently Asked Questions Following Orthognathic Surgery (Protrusion/Retrusion Correction)

Is orthodontic treatment necessary after surgery?

In many cases, orthodontic treatment is performed before or after surgery to adjust the position of the teeth and ensure accurate occlusion.

What is the recovery time after surgery?

The recovery time after orthognathic surgery (protrusion/retrusion correction) typically lasts from 4 to 6 weeks. However, for complete stabilization of the jawbone and to achieve the best results, it may take 3 to 6 months.

When can I start speaking normally again?

After about 2 days, you can start speaking gently. After 1 week, communication will be easier, but you should limit excessive talking in the initial stages to support the healing process.

Is numbness felt after surgery?

After surgery, numbness or tingling in the lip, chin, or cheek area is normal and usually gradually subsides after a few weeks to months.

Is it necessary to take time off work or school?

After surgery, patients should rest completely for the first 7-10 days to ensure the recovery process. After that, depending on their health condition and specific job or studies, they can return to work or school, but should avoid heavy or strenuous activities.

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