Consent for Surgery
- You understand that this is elective surgery, and it is your informed decision to proceed
- You understand what is needed for preparation for jaw surgery
- You understand the details of the surgical procedure
- You understand the incisions
- You understand what bones are sectioned and repositioned
- You understand how the bones are secured with plates and screws
- You understand that dental appliances/surgical guides will be used during your surgery
- You understand the recovery process
- You understand the following risks, complications, and outcomes
- Infection that requires prolonged antibiotics, hospital admission, and possible surgery
- Relapse/recurrence due to skeletal and/or occlusal instability and joint position
- TMJ problems
- Instability of malunion and non-union and need for re-operation
- Hardware failure, replacement, and removal that require reoperation
- Re-operation if surgical and orthodontic goals are not met
- Unanticipated changes in facial appearance of the nose, lips, smile, and cheeks
- Changes in appearance may or may not be acceptable
- Asymmetry of the face and teeth before and after surgery
- Secondary procedures for the lips, nose, or cheeks
- Dental injury leading to root canals and/or dental implants
- Gingival or gum recession and mucosal loss from impacted blood supply
- Blood loss and need for transfusion
- Rare, uncommon, and unpredictable complications can result in neurological deficit and the remote possibility of death as with any surgery
- Specifically for upper jaw surgery
- Nasal bleeding that may require surgical control
- Maxillary sinusitis that may be chronic and require additional procedures
- Infraorbital Nerve (sensory/motor) will be affected and may become permanent (<5%)
- Tissue loss in the palate or gingiva that will require additional procedures
- Airway problems such as septal deviation and nasal obstruction
- Changes in speech that may require speech therapy and surgery to restore speech
- Specifically for lower jaw surgery
- Inferior Alveolar Nerve and Lingual nerve (sensory/motor) will be affected and may become permanent (at least 30%) as the nerve is buried in the bone and the bone cuts are adjacent to the nerve path
- Airway problems that may not be improved with lower jaw surgery. In some cases, it may worsen
- You have watched the Risk Video
