Preoperative Instructions for Orthognathic Surgery

Preparing for orthognathic surgery involves several steps to ensure a safe and successful procedure. Here are some general preoperative instructions commonly provided to patients undergoing orthognathic surgery:

1. Consultation and Planning:

• Attend all preoperative consultations with your oral and maxillofacial surgeon (OMS) to discuss the surgery, expectations, and potential risks.
• Work closely with your surgical team to develop a personalized treatment plan tailored to your specific needs and goals.

2. Medical Evaluation:

• Undergo a comprehensive medical evaluation, which may include blood tests, imaging studies, and other assessments to evaluate your overall health and suitability for surgery.
• Disclose any preexisting medical conditions, allergies, or medications you are currently taking to your surgical team.

3. Dental Assessment:

• Complete any necessary dental treatments, such as fillings, root canals, or extractions, before the scheduled surgery date.
• Ensure that your oral hygiene is optimal to minimize the risk of postoperative complications, such as infection.

4. Orthodontic Treatment:

• If undergoing orthognathic surgery as part of orthodontic treatment, follow your orthodontist's instructions regarding braces adjustments and tooth alignment.
• Your orthodontist will work in conjunction with the surgical team to achieve optimal dental and facial alignment.

5. Smoking and Alcohol Cessation:

• Refrain from smoking and alcohol consumption in the weeks leading up to surgery, as they can impair healing and increase the risk of complications.

6. Fasting Guidelines:

• Follow fasting instructions provided by your surgical team, typically requiring you to avoid eating or drinking anything (including water) for a specified period before surgery. Adhering to these guidelines helps prevent aspiration during anesthesia.

7. Medication Management:

• Inform your surgical team about all medications you are currently taking, including prescription drugs, over-the-counter medications, supplements, and herbal remedies.
• Follow your surgeon's instructions regarding the management of medications before surgery, including any medications to stop or adjust dosage.

8. Physical Preparation:

• Engage in regular exercise and maintain a healthy lifestyle to optimize your physical condition before surgery.
• Get adequate rest and prioritize self-care to reduce stress and promote overall well-being.

9. Support System:

• Arrange for a responsible adult to accompany you to the surgical facility on the day of the procedure and provide support during the recovery period.
• Communicate with your family members or caregivers about your upcoming surgery and any assistance you may need during the recovery process.

10. Mental and Emotional Preparation:

• Educate yourself about the surgical procedure, expected outcomes, and potential risks to alleviate anxiety and make informed decisions.
• Engage in relaxation techniques, such as deep breathing exercises or meditation, to manage preoperative stress and promote a positive mindset.

11. Preoperative Instructions from Surgical Team:

• Follow any additional preoperative instructions provided by your surgical team, including specific dietary restrictions, hygiene protocols, and arrival times at the surgical facility.

By adhering to these preoperative instructions and maintaining open communication with your surgical team, you can help ensure a smooth and successful experience with orthognathic surgery. If you have any questions or concerns, do not hesitate to discuss them with your oral and maxillofacial surgeon or the medical staff involved in your care.

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