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Le Fort Osteotomy

WHAT YOU NEED TO KNOW:

Le Fort osteotomy is surgery to fracture and move bones in your face. There are 3 types of Le Fort surgery. Each type of surgery moves different bones in your face. During Le Fort I surgery, your maxillary bone (area just above your upper teeth) is fractured. During Le Fort II surgery, fractures are made above your nose and in your upper jaw. During Le Fort III surgery, fractures are made through your cheekbones and the bones around your eyes.

DISCHARGE INSTRUCTIONS:

Medicines:

  • Pain medicine: You may be given medicine to take away or decrease pain. Do not wait until the pain is severe before you take your medicine.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

Devices:

  • Dental headgear: You may need to wear dental headgear for 6 months after surgery to keep bones in place. Ask for more information about dental headgear.
  • Distractor: You may need to wear a distractor after surgery. This device helps slowly pull your bones further apart. Ask how to care for your distractor and how long you need to wear it.

Wound care:

When you are allowed to bathe, carefully wash the incisions with soap and water. Dry the area and put on new, clean bandages as directed. Change your bandages if they get wet or dirty.

Contact your healthcare provider if:

  • You have a fever.
  • You have problems with devices or bands on your teeth.
  • Your wound looks red, swollen, or has pus coming from it.
  • You have questions or concerns about your condition or care.

Seek care immediately or call 911 if:

  • You have new trouble breathing.
  • You feel your bones in your face move suddenly.
  • The distractor attached to your head becomes loose.
  • You have bleeding from your wounds, nose, or mouth that does not stop.
  • You have clear fluid coming out of your nose or ears.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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