Jaw surgery, also known as orthognathic surgery, involves repositioning the jawbones to correct various conditions. While some discomfort is normal, advancements in techniques and pain control make recovery manageable, with pain often less severe than anticipated and effectively controlled.
Immediate Post-Surgery Pain
Following jaw surgery, patients can expect acute discomfort as anesthesia wears off. This initial sensation is often described as throbbing, aching, or pressure in the jaw and surrounding facial areas. Discomfort typically peaks within the first two to three days.
The surgical site, muscles, and surrounding tissues are disturbed, contributing to soreness and stiffness. Patients may also experience a sore throat from the breathing tube, which usually subsides within a few days. Discomfort gradually decreases as the body heals.
Pain Management Approaches
Effective pain management is central to a smoother recovery after jaw surgery. Surgeons typically prescribe a combination of medications to control post-operative discomfort. This often includes prescription pain relievers, such as opioids, for more intense pain during the initial days. These are generally used for a limited period, often 3 to 4 days, and should be taken with food to reduce nausea.
Over-the-counter options, such as acetaminophen or ibuprofen, are commonly recommended and can be effective in managing discomfort and reducing swelling. These medications may be used alone for milder pain or alternated with prescription medication for more comprehensive relief. Beyond medication, non-pharmacological strategies can also aid in comfort. Applying ice packs to the face for the first 24 to 48 hours helps minimize swelling and numb the area. Keeping the head elevated, especially during sleep, also assists in reducing swelling and promoting comfort.
Navigating Recovery Discomfort
Beyond surgical discomfort, other experiences contribute to recovery. Swelling is common, often peaking around day three or four. While most swelling resolves within two weeks, a minor amount can persist for several weeks to months.
Numbness or altered sensation in the lips, chin, or other facial areas is also typical due to nerve manipulation. This altered sensation can gradually improve over several months, though small areas of numbness may persist.
Eating and speaking can be challenging initially due to jaw stiffness and swelling. Patients are typically advised to follow a liquid or soft diet for several weeks to avoid straining the healing jaw. These temporary changes generally resolve as recovery progresses.
Recognizing Abnormal Pain
While some discomfort is a normal part of jaw surgery recovery, it is important to recognize signs that might indicate a complication. You should contact your surgeon if you experience a sudden and significant increase in pain that is not alleviated by prescribed medication. Persistent pain that worsens over time, rather than improving, also warrants medical attention.
Other concerning symptoms include a fever higher than 100.4 degrees Fahrenheit (38.3 degrees Celsius), which could signal an infection. Excessive bleeding that continues beyond light oozing, or any signs of infection such as redness, discharge, or skin that feels hot to the touch, should also be reported immediately. Addressing these signs promptly can help prevent further complications.