Our Summary

This article is a refresher on the latest research and techniques for managing surgeries involving the lower jaw (mandibulectomy) and upper jaw (maxillectomy), particularly in the field of dental and oral cancer surgery. Over the past ten years, some new methods have been introduced. There seems to be a trend towards more aggressive surgical strategies to treat complex oral tumors, as seen in recent veterinary research. Innovative techniques are also emerging to regenerate bone in facial defects. The article also reiterates the fundamental principles of oral cancer surgery, which are crucial to any jaw surgery.

FAQs

  1. What are the latest techniques in managing surgeries involving the lower and upper jaw?
  2. What trends have been observed in surgical strategies to treat complex oral tumors in the past ten years?
  3. What innovative techniques are being used to regenerate bone in facial defects?

Doctor’s Tip

One helpful tip a doctor might tell a patient about maxillofacial surgery is to follow all pre-operative instructions carefully, including fasting, medication adjustments, and other specific guidelines provided by the surgical team. This will help ensure a successful surgery and smooth recovery process. Additionally, it is important to communicate openly with your healthcare team about any concerns or questions you may have before and after the surgery. This will help ensure that you are well-informed and prepared for the procedure and post-operative care.

Suitable For

Patients who may be recommended for maxillofacial surgery include those with:

  • Oral cancer
  • Facial trauma
  • Craniofacial abnormalities
  • Temporomandibular joint disorders
  • Misaligned jaws
  • Cleft lip and palate
  • Facial pain
  • Sleep apnea

These patients may require surgery to correct functional issues, improve aesthetics, or address underlying medical conditions. Maxillofacial surgery is often a multidisciplinary approach, involving collaboration between oral and maxillofacial surgeons, otolaryngologists, plastic surgeons, and other specialists to ensure comprehensive care for the patient.

Timeline

Before maxillofacial surgery:

  • Patient undergoes a consultation with a maxillofacial surgeon to discuss the surgical procedure, risks, and benefits.
  • Pre-operative tests such as imaging studies, blood work, and dental evaluations are conducted to assess the patient’s overall health and dental status.
  • Patient may need to make lifestyle changes, such as quitting smoking or adjusting medication, to optimize surgical outcomes.
  • Patient is given pre-operative instructions on fasting, medication use, and post-operative care.

After maxillofacial surgery:

  • Patient is closely monitored in the recovery room for any immediate post-operative complications.
  • Pain management is initiated to alleviate discomfort and promote healing.
  • Patient may need to follow a modified diet to accommodate for any restrictions or limitations due to the surgery.
  • Physical therapy and speech therapy may be recommended to help the patient regain function and mobility in the jaw.
  • Follow-up appointments are scheduled to monitor healing progress, address any concerns, and remove sutures or drains as needed.
  • Long-term follow-up care may include dental rehabilitation, prosthetic reconstruction, or additional surgeries to optimize aesthetic and functional outcomes.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with maxillofacial surgery?

  2. What is the expected recovery time and post-operative care for this type of surgery?

  3. How will my speech, eating, and appearance be affected after the surgery?

  4. Will I need any additional treatments, such as radiation or chemotherapy, after the surgery?

  5. Are there any alternative treatment options to consider before proceeding with surgery?

  6. What is the success rate of this type of surgery for my specific condition?

  7. How experienced are you in performing maxillofacial surgery, and how many procedures like mine have you performed?

  8. What can I do to prepare for the surgery, such as adjusting my diet or medications?

  9. Will I need any reconstructive surgery or dental implants after the maxillofacial surgery?

  10. Are there any long-term effects or limitations I should be aware of following the surgery?

Reference

Authors: Bertran J, Thomson ACS. Journal: Vet Clin North Am Small Anim Pract. 2022 Mar;52(2):489-512. doi: 10.1016/j.cvsm.2021.12.006. PMID: 35210061