One Year After Orthognathic Surgery
One Year After Orthognathic Surgery / Taiwan TV Show 03/30/2016
What is the reason for receiving orthognathic surgery?
I had a problem of occlusion. The upper and lower back teeth on the left were not aligned well. After the evaluation, my orthodontist pointed out that my occlusion problem could not be solved simply by orthodontic treatment and he suggested that it was necessary to work with orthognathic surgery to improve my occlusion. Later, the problem of my occlusion was getting more and more serious. So I started to contact and consult with Dr. Hsieh Ming-Ji’s clinic. Detailed information was given to me in the process of consultancy at clinic. Then I was ready for receiving the surgery.
What are the conditions during recovery after surgery? How long can a patient go back to work?
What makes Dr. Hsieh Ming-Ji different from others?
Dr. Hsieh’s techniques are really good. When I started looking for an orthognathic surgeon right for me, just like everyone else, I went to several clinics or big hospitals for consulting. The old concept of traditional orthognathic surgery wasn’t broken until I visited Dr. Hsieh. The environment, doctors and staff of the center are reliable to entrust myself to.
Changes after surgery?
After the surgery, the changes in appearance substantially boost “self-confidence”. The functions of eating and chewing have been improved. The teeth at the back are able to chew food, which makes me feel very happy.
Recovery period of orthognathic surgery: Dr. Hsieh Ming-Ji at Charm v.s. others
A friend of my colleague’s received orthognathic surgery around two or three years ago. But my colleague told me that there was a big difference in recovery period between that friend and I. At that time, he needed to lie in bed for a long time during the recovery period. It took him around half a year to get recovered. He ate liquid food for four to five months. There is a big gap between our conditions in recovery. During my recovery period, I only ate liquid food for ten days and then I started eating soft food. One month later, I could begin chewing. In the early period of recovery, the muscles of the mouth are weaker. It is suggested to practice opening the mouth often.Comparisons in recovery period of orthognathic surgery between Dr.Hsieh Ming Ji at Charm and others
Comparisons in recovery period of orthognathic surgery between Dr. Hsieh Ming Ji at Charm and others
什麼時候需要正顎手術?
粗略的說,「咬合不正(malocclusion)」的人,或是因為顎骨問題而影響美觀的人,需要正顎手術治療。 咬合不正常常造成所謂的暴牙、戽斗、鳥嘴、歪臉、月亮臉,其實它的影響不止於此。由於上下顎有部分的牙齒咬不到(稱為「開咬(openbite)」),或是咬起來的位置內外相反(稱為「錯咬(crossbite)」),或是咬合面傾斜不對稱,造成了進食、說話、呼吸、顳顎關節、社會適應等一連串的問題。 咬合不正的人,可能因為上下牙齒咬不到,無法切斷或是咀嚼食物;也可能因為上下嘴唇與舌頭的位置不對,說話時有某些字無法發音;也可能為了遷就咬合不正的齒列,下顎運動異常,而造成長期頭痛與慢性的顳顎關節障礙;在心理上的影響更不能忽視,咬合不正往往帶來社會適應問題,因為它對臉部外觀影響鉅大。 視覺是人類最主要用來辨認彼此的方式,在人際互動的過程中,大多數人從容貌開始認識對方。我們不樂見的是,人們因為與內心世界不相稱的顏面外觀,而折損到應有的社交享受。臉,是通往世界的窗口,而我們要讓世界看到真正的你。
什麼是正顎手術?
正顎手術移動上下顎的骨頭到理想位置。它是一種顎骨矯正手術,當顎骨發育不協調或不成比例時,為了改善功能、美觀、健康,會需要正顎手術。
所有咬合不正都需要正顎手術嗎?
並不是所有咬合不正,都需要正顎手術。 咬合不正其實是個較狹隘的名詞,我們的用語叫「齒顎顏面畸形(dentofacial deformity)」,它包含牙齒、顎骨兩項因素,而影響顏面外觀。 通常,顎骨生長正常,只有牙齒排列不整齊的人,可以單純靠牙齒矯正治療(orthodontic treatment)。所謂的牙齒矯正,是在牙齒上裝矯正器(俗稱牙套),這項療程是由矯正科醫師負責。 顎骨生長異常,則需要同時接受牙齒矯正、正顎手術兩項治療。正顎手術調整顎骨位置,由口腔顎面外科醫師負責。牙齒矯正則是調整牙齒排列,由齒顎矯正科醫師負責。
應該什麼時候開始治療?
治療開始時間要看顎骨發育情況,通常先接受牙齒矯正,等發育停止後再動手術。
正顎手術一定要搭配牙齒矯正嗎?
大部份情況都最好搭配牙齒矯正,才能有最好的結果。牙齒要移到理想位置,手術後才能精確的咬合。
正顎手術屬於美容手術嗎?
正顎手術包含很多美觀考量,但它必須同時改善功能,讓上下顎達到正確且美觀位置、同時讓牙齒正確咬合,才是正顎手術的主要精髓。
正顎手術是全身麻醉手術嗎?
是的,這項手術必須在全身麻醉下進行。
正顎手術後何時恢復正常上班?
影響恢復的因素很多,不過至少一至兩個禮拜的休息時間是需要的。
我需要正顎手術嗎?
需要正顎手術的人,通常即使未經專業訓練,也能看出他們臉部的問題,如顎骨前凸、後縮、牙齒咬不到等等,比細微的部分則是專業人士才能辨認。齒顎矯正科與口腔顎面外科的專科醫師,可以讓你更清楚瞭解自己是否需要正顎手術。
正顎手術如何進行?
正顎手術需要在全身麻醉下進行,手術時間依每個人不同狀況而定,快則二至三個小時,慢則五至六個小時。手術傷口從嘴巴裡切開,露出骨頭後開始一連串步驟,最後把骨頭用骨釘骨板固定好,傷口就可以縫合。當情況許可時,可以不把上下顎牙齒綁在一起。
正顎手術後要多久時間恢復?
手術後要住院一到三天,一週內要多休息,一個月內不宜激烈運動。臉會很腫是正常的,也可能出現淤青一陣子,通常兩週後腫脹可以消除六七成。
不接受手術會如何?
齒顎顏面的問題會影響功能、美觀與健康,不治療功能性問題的話,可能會進食、發音困難或雙唇無法閉合,也可能影響牙齒、牙齦與顳顎關節的健康,而臉部外觀則會直接、間接的影響病人的生活品質。
Copyright © 2007-2017
All Written Contents and Pictures Created by Dr. Adrian M. Hsieh and Dr. Scott H. Jiang
Aesthetic Medicine Department Plastic Surgery DepartmentAesthetic Dentistry Department
Results of surgery vary among patients. Please consult your doctor.