interoral vertical ramos osteotomy

plus1more

My primary care physician said I needed my mouth wired shut, but I still haven't seen a TMJ specialist. I'm waiting on my insurance to correct a mix up. I already had an MRI on my right cheek/jaw area, and they said it looked fine, but it did look like a TMJ problem. How was it determined to have your mouth wired? Did you try other treatments before you decided on surgery? Keep us posted on your recovery.

MSUGuy02

What type of work does this surgery entail? I'm really confused as to what you had done. I had orthognathic surgery a year and a half ago and had my jaw wired shut for weeks. I can feel for you.

Please let me know a little about you and what your doctor says... and good luck on your recovery!

Take Care,
Andy

Katie G

Hi Shadley. I'm interested in reading more about your surgery. I'm currently in Phase I treatment with repositioning splint 24/7, but will be facing surgery in the new year to realign the maxilla. Since wearing the splint the mandible has realigned itselft in the condoyle fairly well, but now my bite is so far open, I'll never be able to bite/chew food without my splint. My ortho is pleased with my progress, but states I will most likely be facing surgery for both the maxilla and mandible after Phase I is done.

I just want to know what the surgical possiblities out there are. Are you off work or school? For how long? Any other restrictions (like lifting?). What exactly did you have done?

Thanks for your info,
Katie G

shadley

responding to your questions - this surgery IVRO is to correct Temporomandibular Joint Internal Derangement. The rationale behind this surgery is to increase the joint space and so allow more freedom of movement of the condylar head and the TMJ disc. I have gone through physio therapy, splint therapy, accupuncture and had a scope done last Feb. After all of these treatments failed to provide relief, this surgery was recommended. Basically my lower jaw has been cut in 2 places and dropped down by 2 mm to increase the joint space. My jaw is wired to allow the mouth to heal without disturbing the occlusion. Other than being very weak from not eating, I am doing well - today is 1 week after surgery. I have not had any pain in the joint however I have not been able to move the joint so I do not really know if this has eliminated my problem just yet - I will be wired shut for a few weeks so time will tell. I am off work for 6 - 8 weeks with the first 3 weeks being wired and then the next 2 - 4 with elastics to restrict movement and allow for gradual opening of the mouth. I have been told that I may need a minor occlusal adjustment when all the wires and elastics are off and that I should go back to physio to help return my jaw function to normal.

I will keep you updated if you are intersted

Shelley

Katie G

Hi again Shelley - yes, I am very interested in hearing about your progress post-op. I like to be well informed about any medical procedures I have done, and it's good to hear both the pros/cons of any procedure. I don't know if I'll be going through the same procedure as you, but I'm interested in hearing about any type of oral surgery for TMD.

Thanks again,
Katie G

bella00

Hi Shelley,
Are you still out there? Can you give an update on how the IVRO surgery went? My wife is planning on having this surgery next month....so your help is greatly appreciated.

Thanks,
Chris

hadit2

Shelly,
I just had IVRO Jul 6. They cut my wires on July 19 and put me in rubber bands. I hear crackling in my ears when I rub my face near my ear. Yawning hurts and makes a lot of crackling noise. My teeth ached for days and my chin constantly hurts. Now I am having headaches that are very hard to get rid of - not migraines (I have a hx of migraines so it is not that). I think from the hunger. My lower lip and chin are still numb. Help! How are you doing one year out? I can only open my mouth a little to get a tooth brush in, how long before I can open to eat a burger or fries - I need hope that I will not be destined to a life of soup and floats. Give me a quick synopsis of the high points of your recovery. (After they did the surgery, within 6 hours they had me in X-ray - the radiologist asked me if I knew that I had arthritis in the TMJ joint?)

luvtocamp

What is IVRO? I feel for yous and wish you both a swift and successful recovery. Please keep us updated on your progess. Take Care.

tanglefoot

Shadley,
I had the same surg but with great distress. My jaw was only wired shut for 2 weeks, then I wore elastics for two weeks. My jaw has now shifted to the right, and only my back two molars touch. I had a perfect bite before the surgery. I am in a lot more pain now than before the surg. I now need another surgery to correct the malposition and malocculion that I have acquired. I hope your story doesn't end up like mine. Keep track of your bite. I have a lot of bone loss because of this. Take care
Tanglefoot

brigitte jones

Tanglefoot - what are they going to do to correct the malposition. I had this surgery done 3 years ago and am in so much more pain - have bone loss and malocculion from it. In addition, the condyle is now out of the fossa (healed incorrectly) and I am wondering if there is anything that can be done.

tanglefoot

Brigitte Jones,
I am having a surgery called a bilateral sagital split osteotomy, with bone plates. I am also having fascia tissue, (a fibrous tissue) placed where my cartilage used to be. I am seeing the best of the best and this is what he recommends. My doc has a Phd and he has been teaching at a very famous dental school for over 20 years. He stated to me that joint replacements do not work and that the TMJ joint is entirely too small for that kind of surgery.
How long were you wired shut? Do you also have severe neck pain because your neck is following the malposition of your jaw?? My surgery was 2 years ago and I started noticing the changes 5-6 months post surgery.
I hope you can see someone who can fix your problem. It is extremely painful. Keep me posted on your situation. I am due for surgery very soon.
Take care,
Tanglefoot