Our Summary

This research paper guides readers through a procedure known as commissurotomy using pictures. This operation is done to improve a surgeon’s ability to reach the back part of a dog’s mouth during operations like removing all or part of the lower jawbone, or to get better access to a specific part of the lower jawbone.

FAQs

  1. What is the purpose of a commissurotomy procedure?
  2. What procedures may require increased surgical access to the caudal oral cavity?
  3. Are commissurotomy procedures performed on animals other than dogs?

Doctor’s Tip

A helpful tip a doctor might tell a patient about jaw surgery is to follow all post-operative care instructions closely, including proper oral hygiene practices and avoiding hard or chewy foods to ensure proper healing and minimize the risk of complications. It is also important to attend all follow-up appointments to monitor progress and address any concerns.

Suitable For

Patients who may be recommended jaw surgery include those with:

  1. Severe malocclusion or misalignment of the jaw
  2. Temporomandibular joint (TMJ) disorders
  3. Facial trauma resulting in fractures of the jaw
  4. Sleep apnea caused by a narrow airway
  5. Congenital abnormalities affecting the jaw structure
  6. Tumors or cysts in the jaw
  7. Severe dental issues that cannot be corrected with traditional treatments

It is important for patients to undergo a thorough evaluation by a maxillofacial surgeon to determine if jaw surgery is the best course of treatment for their specific condition.

Timeline

Before Jaw Surgery:

  1. Consultation with an oral and maxillofacial surgeon to discuss the need for jaw surgery and potential treatment options.
  2. Pre-operative evaluation and planning, which may include dental impressions, x-rays, and a physical examination.
  3. Preparing for surgery by following pre-operative instructions from the surgeon, such as fasting before the procedure.
  4. Anesthesia administration before the surgery begins.

During Jaw Surgery:

  1. The surgeon makes incisions in the jaw to access the underlying bone and tissues.
  2. Repositioning of the jaw bones to correct alignment issues or other structural problems.
  3. Use of screws, plates, or wires to stabilize the jaw in its new position.
  4. Closure of incisions with sutures.

After Jaw Surgery:

  1. Recovery in the hospital or surgical facility under the care of medical professionals.
  2. Pain management and monitoring for any complications or side effects of the surgery.
  3. Post-operative instructions for at-home care, including dietary restrictions and wound care.
  4. Follow-up appointments with the surgeon to monitor healing progress and address any concerns or issues that may arise.

What to Ask Your Doctor

  1. What specific type of jaw surgery do you recommend for my condition?

  2. What are the potential risks and complications associated with jaw surgery?

  3. How long is the recovery period for jaw surgery and what can I expect during the recovery process?

  4. Will I need to follow a special diet or make any lifestyle changes after jaw surgery?

  5. What type of anesthesia will be used during the surgery and how will it be administered?

  6. How many times have you performed this type of jaw surgery and what is your success rate?

  7. What alternative treatment options are available for my condition if I choose not to undergo jaw surgery?

  8. Will I need to undergo any additional tests or evaluations before the surgery?

  9. What can I do to prepare for jaw surgery and what should I expect on the day of the procedure?

  10. How long will I need to stay in the hospital after jaw surgery and what follow-up appointments will be necessary?

Reference

Authors: Ritchie C. Journal: J Vet Dent. 2017 Mar;34(1):41-43. doi: 10.1177/0898756417702993. Epub 2017 Apr 7. PMID: 28387155