Following Repair of Fractured Zygoma and/or Orbit

Post-operative care is important following surgery, and recovery may be delayed if this is neglected.

  1. Monitor Vitals: HR, BP, Respiratory Rate, Sats, Temp
  2. Medications as charted: Antibiotics and analgesics will be prescribed. Please take as directed.
  3. Eye Observations: Visual acuity, pupil reaction, movement in eye
    • Q15mins x 2hrs
    • Q30mins x 2hrs
    • Q2hrs until morning ward round or doctor phones ~07:00hrs
    • Urgent signs to contact Dr Huang (0417-160-887):
      • Decrease in visual acuity
      • Eye pain not relieved with medication
      • Tense, protruding eye (proptosis)
      • Inability to move eye
  4. Nurse in 30–45° head-up position
  5. Ice packs to face:
    • Gently and frequently during first 12 hours to reduce swelling
    • Iced gauze may be placed on the closed affected eye
    • Expect limited mouth opening and bruising as swelling subsides
  6. No pressure to side of surgery
  7. Diet: Soft diet for 2–3 days post-surgery
  8. Oral hygiene:
    • Start rinsing from day 2
    • Use Chlorhexidine 0.2% (Savacol or Oral B Plaqacide)
    • Or warm salt water (1 tsp salt in 1 glass warm water), 3× daily for 1 week
    • Brush teeth gently in unaffected areas
    • Apply Vaseline to lips for first 2 days
  9. Stitches/Sutures: Most are dissolvable and will disappear within 1–2 weeks
  10. Other activities:
    • Avoid driving/machinery for 24 hrs after sedation/GA
    • No alcohol or smoking for at least 3 days
  11. Return to School/Work: Will be advised based on surgery and occupation. Medical certificate provided.
  12. Other issues: Temporary sore throat, difficulty swallowing or muscle pain may occur due to anaesthesia
  13. Urgent Contact for Dr Huang:
    • Phone: (02) 9262-9318 (business hours)
    • Email: admin@vintagesurgicalspecialists.com.au
    • Leave voicemail (no texts)
    • After hours: Present to hospital Emergency and ask for the Oral & Maxillofacial Surgery Registrar for Dr Huang:
      • Westmead Hospital Emergency
      • Prince of Wales Hospital Emergency
      • Sydney Children’s Hospital Emergency

Sinus Precautions

Please note that your operation involved a potential or actual opening into your maxillary sinus (Antrum). After this type of operation, it

1. Bleeding Light oozing and salivary discolouration are normal. Keep a mouth pack (gauze) in place with firm pressure for at least

Pain is best controlled by taking regular medications and preventing pain rather than attempting to reduce pain. Use the following schedule to