1VIC

Upper and lower jaw surgery

Treatment Effect

Treatment Effects

Orthognathic surgery of the upper and lower jaws can produce significant and multifaceted outcomes. From a functional perspective, procedures such as the Le Fort I osteotomy performed at Shanxi Provincial People's Hospital on patients with maxillary fractures due to trauma effectively restore occlusal relationships, enabling normal chewing and speech, thereby improving oral function. Aesthetically, the surgery adjusts the position and shape of the jaws, creating a more harmonious facial profile and achieving aesthetic balance, helping patients attain a more attractive appearance. Generally, as wounds heal and recovery progresses, results gradually stabilize and become apparent, with optimal long-term outcomes typically visible within several months to a year.

Is this suitable for me?

Is This Right for Me?

Orthognathic surgery is not suitable for everyone. Ideal candidates typically include individuals with congenital maxillofacial deformities such as mandibular prognathism (underbite), dental protrusion (overbite), or facial asymmetry. It is also appropriate for patients who have suffered maxillofacial fractures due to trauma and require surgical intervention to restore normal structure and function, similar to the maxillary fracture case treated at Shanxi Provincial People's Hospital. However, orthognathic surgery is contraindicated for patients with severe systemic conditions such as heart disease, diabetes, or hematologic disorders that preclude safe anesthesia and surgery; those with uncontrolled acute oral infections; or individuals with psychological instability or unrealistic expectations regarding surgical outcomes.

Select Device

Select Equipment

In orthognathic surgery involving both the upper and lower jaws, advanced and appropriate equipment is crucial. For instance, high-precision CT scanning equipment can provide clear and accurate three-dimensional images of the upper and lower jawbones, enabling surgeons to comprehensively understand the bone structure and any pathological conditions, thereby formulating more precise surgical plans. The power tools used during surgery, such as bone saws and bone drills, directly impact the precision and safety of the procedure. High-quality power systems allow for more accurate osteotomy operations while minimizing damage to surrounding tissues. When selecting a medical facility, it is essential to verify whether it is equipped with advanced and reliable relevant equipment, and confirm that the equipment undergoes regular maintenance and calibration.

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Select Equipment

In upper and lower jaw reshaping surgery, advanced and appropriate equipment is crucial. For instance, high-precision CT scanning equipment can provide clear and accurate 3D images of the upper and lower jaw bones, helping surgeons comprehensively understand bone structure and pathological conditions to formulate more precise surgical plans. The power systems used during surgery, such as bone saws and bone drills, directly impact surgical precision and safety. High-quality power systems enable more accurate bone resection, minimizing damage to surrounding tissues. When selecting a medical facility, ensure it is equipped with advanced and reliable relevant equipment, and that the equipment undergoes regular maintenance and calibration.

Price

Price

The cost of orthognathic surgery for the upper and lower jaws is influenced by multiple factors. The complexity of the procedure is a key determinant; prices vary significantly between minor local adjustments and severe corrections of maxillofacial deformities. Economic development levels and cost of living across different regions also affect pricing, with procedures generally costing more in first-tier cities and developed areas. Additionally, the hospital's accreditation and reputation, as well as the surgeon's experience and technical expertise, impact the final cost. Typically, orthognathic surgery ranges from approximately 20 million to 150 million South Korean won, based on current international exchange rates.

Expected Outcome

Expected Outcomes

Patients should maintain reasonable expectations regarding the results of orthognathic surgery. While the procedure can significantly improve the shape and function of the upper and lower jaws, it cannot achieve perfection comparable to that of celebrities or models. For instance, a case at Shanxi Provincial People's Hospital demonstrated that although patients regained an aesthetically pleasing facial appearance and restored their bite relationship, surgical outcomes are constrained by various factors, including the patient's inherent anatomical conditions and the surgical technique employed. Prior to surgery, patients must engage in thorough discussions with their physicians to understand the realistic range of potential outcomes, thereby avoiding psychological disappointment stemming from unrealistic expectations.

Combination Therapy

Combined Therapy

Jaw and chin contouring surgery sometimes requires combination with other treatments. For instance, orthodontic treatment with braces may be needed before and after surgery to align the teeth, creating optimal conditions for the procedure and further stabilizing the occlusion post-surgery to consolidate the results. For patients with issues related to facial soft tissues, additional aesthetic procedures such as facial fat grafting or Botox injections for slimming may also be integrated to achieve overall facial harmony.

Adverse Effects and Complications

Side Effects and Complications

Orthognathic surgery, which involves reshaping the upper and lower jaws, carries certain risks of side effects and complications. Common issues include postoperative bleeding and hematoma, which may result from incomplete hemostasis during surgery or fluctuations in the patient's blood pressure afterward. Infection is another potential risk, as the oral cavity is a bacterial environment, making surgical wounds susceptible to bacterial contamination. Nerve damage can lead to abnormal facial sensations, such as numbness or tingling, affecting the patient's daily life. Additionally, poor bone healing and implant rejection may occur. However, in reputable medical facilities, experienced surgeons implement various measures to minimize these risks.

Side Effects

Beyond the aforementioned risks like bleeding, infection, and nerve damage, orthognathic surgery may also cause swelling and pain. Postoperative swelling typically subsides gradually over a few days to several weeks, while pain can be managed with appropriate analgesics. Some patients may experience limited mouth opening, requiring dedicated postoperative rehabilitation exercises to restore normal jaw mobility. Furthermore, the surgery might temporarily affect the natural appearance of facial expressions, though this usually improves over time as healing progresses.

Select Instrument

Select Instruments

In addition to the CT scanning equipment and power systems mentioned earlier, auxiliary instruments such as navigation systems may also be used during surgery. Navigation systems provide real-time information on bone positioning throughout the procedure, assisting surgeons in performing more precise osteotomies and reductions, thereby enhancing surgical accuracy and safety. When selecting instruments, it is essential to evaluate their precision, stability, and reliability, as well as verify their relevant quality certifications and clinical application experience.

Project Contraindications

Contraindications for the Procedure

Orthognathic surgery of the upper and lower jaws has clear contraindications. Patients with severe systemic conditions such as cardiovascular disease, hepatic or renal insufficiency, or uncontrolled diabetes may not tolerate the surgical trauma. Individuals with mental disorders who cannot cooperate with the surgery or postoperative care are also excluded. Active oral infections, including periodontitis or oral ulcers, must be fully resolved before surgery. Additionally, women during menstruation, pregnancy, or lactation are not suitable candidates, as the physiological changes during these periods increase surgical risks.

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Contraindications for the Procedure

Orthognathic surgery has clear contraindications. Patients with serious systemic conditions such as severe cardiovascular disease, impaired liver or kidney function, or uncontrolled diabetes are not suitable for surgery, as their physical condition cannot withstand the surgical trauma. Individuals with mental disorders who cannot cooperate with the surgery or postoperative care are also excluded. Surgery must be postponed if acute inflammation exists in the oral cavity, such as periodontitis or oral ulcers, and should only be performed after the inflammation has resolved. Additionally, women during menstruation, pregnancy, or breastfeeding should avoid surgery, as the physiological changes during these periods increase surgical risks.

Side effects

Side Effects

In addition to the previously mentioned side effects such as bleeding, infection, and nerve damage, swelling and pain may also occur after upper and lower jaw surgery. Postoperative swelling typically subsides gradually over a few days to several weeks, while pain can be managed with appropriate analgesics. Some patients may experience limited mouth opening, which requires proper rehabilitation exercises post-surgery to restore normal jaw mobility. Additionally, the procedure may cause temporary unnatural facial expressions, which will gradually improve with time and recovery.

Self-Symptom Check

Symptom Self-Diagnosis

If you notice abnormalities in the shape of your upper and lower jaws, such as noticeable facial asymmetry or misalignment of the teeth, including conditions like underbite or protruding teeth, or experience difficulties and pain while chewing or speaking, these may indicate issues with the upper and lower jawbones. However, self-diagnosis based on symptoms can only serve as a preliminary assessment and cannot replace professional medical diagnosis. Upon detecting any abnormalities, it is important to promptly visit a reputable oral and maxillofacial surgery department for a thorough examination and diagnosis.

Select treatment plan

Select Treatment Plan

Selecting a treatment plan requires comprehensive consideration of multiple factors. First, a personalized plan must be developed by a qualified physician based on the type and severity of the patient's maxillofacial skeletal deformity. For instance, medical teams at Shanxi Provincial People's Hospital conduct detailed preoperative analyses to determine specific surgical approaches such as orthognathic surgery. Additionally, the patient's overall health, age, and occupation must be taken into account. For example, younger patients or those with high aesthetic expectations may prefer treatment options that involve minimal trauma, offer faster recovery, and deliver superior aesthetic outcomes. During the planning process, patients should communicate thoroughly with their physicians to understand the advantages, disadvantages, and risks of each option, enabling a joint decision on the most suitable approach.