Dr John Fisher, Maxillofacial & Oral Surgeon
Hospital Room Surgery

Here Is Some Information Which You Will Find Useful

Introduction

We understand that the idea of hospitalization for a surgical procedure is never a pleasant one. The information provided here is therefore given to you in an attempt to make your proposed surgery, hospitality and recovery as easy as possible. If any additional questions arise, you are encouraged to ask me or my staff about any areas of concern. We and the hospital staff will do all we can to enhance the quality of your stay.

Pre-operative

You will be given the details of admission dates and times for the proposed procedures. We will arrange the use of a bed, the operating theatre and for the specialist anaesthetic where one may be required. If you are going to have a general anaesthetic it is important that you do not eat or drink anything for six hours prior to the scheduled time of surgery.

Day Ward

For short procedures, you will be admitted to the “Day Ward”, where the staff prepare you for surgery and take care of you during the hour’s proceeding and following your surgical procedure. The nursing sisters in this ward are experienced in the care of our patients and will assess when you have recovered sufficiently from the general anaesthetic to be discharged. Medication or a prescription will be provided for you and the ward staff will ensure that you have this before you leave.

General wards will be used for longer cases or where an overnight stay is considered advisable.

Where required, a specialist anaesthetist will examine you prior to your procedure and will be happy to answer any questions which you may have about anything you may consider important for the safe administration of your anaesthesia.

Post-operative Care

  1. Medication - where necessary, medication to control swelling, pain and post-operative infection will be prescribed for you. An antibacterial mouth wash is particulary useful while you are unable to brush your teeth normally. The ward staff will ensure that this is available for you when you leave the hospital .Please do not go home without your medicines or a prescription for these
  2. The use of ice packs is very beneficial in the control of swelling and discomfort. These should be used regularly within the first twenty four hours following surgery. Ideally cold packs should be held in contact with the face for about 20 to 30 minutes at a time with intervening rest periods of 30 minutes
  3. Diet - for the first few days following an oral surgical procedure, you will be more comfortable with a soft "non-chewy" or liquid diet. There is no absolute restriction on what you may or may not eat and common sense will largely dictate the nature of your food intake. Please remember to drink fluids, even if you do not feel like chewing. As the healing process progresses, you will be more comfortable with chewing and will gradually be able to return to your normal diet.
  4. Sutures - Generally the stitches which are placed into your mouth will dissolve.These will take approximately 10 days to 2 weeks to disappear but some may take longer and can certainly be removed for you if they become a nuisance
  5. Post-operative Bleeding - Bleeding after an oral surgical procedure is an uncommon phenomenon but do not be alarmed if there is some gentle oozing from the operative sites during the first day or two after the procedure.

    Vigorous rinsing during the first 24 hours post-operatively will encourage bleeding - please rinse gently. If bleeding becomes more profuse, the use of pressure over the affected area is the most successful way of controlling the bleeding. A gauze swab placed and held firmly over the bleeding area for at least 10 minutes is very effective. After a few days some facial skin discolouration may be seen and the result of some internal bleeding. While this is unsightly, it is harmless and will disappear in about 10 days.
  6. Swelling - this is a natural sequence following any operative procedure and will vary depending on a number of factors, some of which are your own physiological condition, the nature of the surgery and the amount of bone which is exposed or removed. Swelling can be minimised by the application of ice-packs to the affected areas (see point 2 above) and elevation of the head and shoulders above the rest of the body for the first 24 hours after the operative procedure. Raise the head of the pillow slightly or use an extra pillow or two to support the head, neck and shoulders. Swelling may increase in the first day or two after surgery and will begin to subside on the 4th or 5th post-operative day.
  7. Numbness - Impacted teeth and some dental roots often lie very close to nerves which provide sensation to your lower hip, chin and to your tongue. Performing surgery in these areas will sometimes disturb the function of the nerve and leave you with patches of numbness or tingling in the lip or tongue. Nerve function will return to normal within a few days in the majority of cases, but may take longer. Where the risk of nerve function disturbance is more significant, this will have been pointed out and discussed with you.
  8. Follow up visits - Arrangements should be made to see me for a routine follow up visit one week to ten days post-operatively. In most cases, healing will be uneventful and you may feel that this visit is not necessary. Please contact the practice if you have any doubt.

WE ARE COMMITTED TO PROVIDING QUALITY CARE TO YOU AND YOUR FAMILY.
WE WELCOME DISCUSSION ON ANY ASPECT OF YOUR TREATMENT.