Double Jaw Surgery Relapse 1

Condition

Previous Failed Jaw Joint Surgery

Previous Failed Jaw Joint Surgery without counter clockwise rotation causing ongoing complications and functional limitations leading to continued pain, discomfort, and restricted jaw movement. Failed surgeries impact quality of life and necessitate further evaluation and intervention to address the unresolved issues with the jaw joint.

Common Symptoms

When the jaw position relapses, the palate can narrow and the jaws can recede, resulting in a less defined facial structure and a “weak profile.” This can affect overall appearance. The narrowing of the palate may cause a reduced width of the smile. Additionally, the airway can become narrower, obstructing proper airflow during breathing. As a result, breathing difficulties, including snoring, frequent awakenings, and daytime fatigue, can occur, especially during sleep. Over time, Obstructive Sleep Apnea (OSA) can develop.

Procedure Performed

LeFort 1 Segmental Osteotomy. Bilateral Total Joint Replacement (TJR). Genioplasty.

About This Patient

A failed maxillomandibular advancement (MMA) surgery, which did not include a counter clockwise rotation, left her with degenerative jaw joints. She experienced persistent jaw pain, limited mobility, and stiffness in her jaw muscles. She heard clicking and popping sounds whenever she moved her jaw, her teeth alignment was affected and she developed open mouth posture. It became difficult for her to eat and speak properly and she was concerned about her changing appearance.