These instructions are intended to assist you in achieving a greater degree of understanding about your upcoming jaw surgery. This will inform you on what you can expect pre-surgery and following discharge from the hospital. It is anticipated that you will have questions after reading this, and you are encouraged to ask us about any areas of concern.
Prior to your surgery, a history and physical exam and blood test will be conducted by your primary care physician. The primary intent of this exam is to screen patients for any potentially complicating systemic diseases. Additional testing for urine analysis, chest X-rays, EKG, etc., may be requested.
All testing is to be completed within 21 days prior to surgery. Your physician will need to send all reports to our office prior to your scheduled surgery date to be reviewed by the surgeon and determine if additional testing is necessary.
The pre-operative nurse from the hospital will be giving you a call 24–48 hours prior to surgery to review all pre-operative instructions and answer any questions you may have related to your time at the hospital that we were unable to answer. These instructions will include arrival time and NPO (fasting) instructions.
Day of Surgery
Upon arrival at the hospital, you will be admitted and taken to the pre-operative area. An IV will be started. A member of the Anesthesia Department will discuss the form of anesthesia with you.
You will be given pre-operative medications. These medications, in addition to being an important preparation for the anesthesia, will reduce normal pre-surgical anxiety. Arriving in the operating area, you will be transferred to an operating table and then taken into an operating room. A catheter (Foley catheter) will be inserted into the bladder to permit the monitoring of urinary output, both during the period of surgery and during the early post-operative period. After completion of the surgical procedure, the endotracheal (throat) tube will be removed as soon as possible. The IV and catheter will remain in place until the post-operative care team deems it no longer necessary.
Following completion of the surgical procedure, you will be transferred to the recovery room. Your progress will be monitored closely by the nurses on duty. You will remain in the recovery room until you are sufficiently awake to be transferred to either your room (if you are to remain overnight) or to be discharged.
Most patients are ready for discharge 3 to 6 hours after surgery. Some patients may be required to stay overnight (even if this was not originally planned). We will provide you with the prescriptions that you will need preoperatively. It is our suggestion that you have these filled before your surgery.