Postoperative Instructions: Open Reduction Internal Fixation (ORIF) for Mandible Fracture

Congratulations on completing your surgery for the mandible fracture. Here are important postoperative instructions to promote healing and ensure a smooth recovery:

1. Pain Management:

• Take prescribed pain medications as directed by your healthcare provider.
• Do not exceed the recommended dosage, and avoid alcohol while taking pain medication.
• If you experience severe or persistent pain not relieved by medication, contact your healthcare provider.

2. Oral Hygiene:

• Maintain good oral hygiene by gently brushing your teeth with a soft toothbrush.
• Rinse your mouth with warm saltwater or an antimicrobial mouthwash as recommended by your surgeon to prevent infection.
• Avoid vigorous rinsing or spitting for the first 24 to 48 hours to prevent dislodging blood clots.

3. Diet:

• Follow a soft or liquid diet as advised by your healthcare provider.
• Start with clear fluids and progress to soft foods such as soups, yogurt, mashed potatoes, and smoothies.
• Avoid hard, crunchy, or sticky foods that may strain your jaw or interfere with healing.

4. Activity Restrictions:

• Limit physical activities and avoid strenuous exercise for the first few days following surgery.
• Avoid activities that could risk injury to your jaw, such as contact sports or heavy lifting.
• Rest with your head elevated to reduce swelling and promote comfort.

5. Oral Immobilization Device:

• If you have wires, arch bars, or IMF screws stabilizing your jaw, follow specific instructions provided by your surgeon regarding care and maintenance.
• Avoid manipulating or adjusting the immobilization device on your own. Contact your surgeon if you experience any issues or discomfort.

6. Swelling and Bruising:

• Swelling and bruising around the jaw are common after surgery and typically peak within the first 48 to 72 hours.
• Apply ice packs to the surgical site for 20 minutes on, 20 minutes off, to help reduce swelling and discomfort.
• Keep your head elevated while resting to minimize swelling.

7. Follow-up Appointments:

• Attend all scheduled follow-up appointments with your healthcare provider for wound checks and removal of sutures or immobilization devices if necessary.
• Report any signs of infection, such as increased swelling, redness, warmth, or drainage from the incision site.

8. Oral Function and Mobility:

• Practice gentle jaw exercises as recommended by your healthcare provider to improve mobility and prevent stiffness.
• Avoid excessive jaw movements, such as wide opening or forceful chewing, until cleared by your surgeon.

9. Contact Information:

• In case of emergency or if you have any questions or concerns during your recovery, contact your surgeon's office or seek medical attention promptly.

Remember to follow these instructions closely to optimize your recovery and achieve the best possible outcome. Your healthcare provider is here to support you throughout your healing journey.

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