Post Operative Instructions Following Repair Of Fractured Mandible

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

1. Bleeding:
   Light oozing is expected, as is salivary discolouration.
2. Discomfort/Pain:
   A prescription for analgesics will be provided. Take as directed. Discomfort should significantly decrease after 2–3 days, reducing the need for pain relief.
3. Swelling:
   Swelling is a normal response, usually peaking 24–48 hours after surgery. It may vary from side to side based on surgical difficulty. Swelling typically subsides 4–5 days post-op.
   • Apply ice packs frequently within the first 12 hours.
   • Mouth opening may be limited; this will ease as swelling reduces.
   • Bruising may occur as swelling resolves.
4. Rest:
   Bed rest is advised for at least 24 hours post-op.
5. Diet:
   A strict soft, non-chew diet must be followed for 6 weeks post-op.
6. Oral Hygiene:
   Good oral hygiene promotes healing and prevents infection.
   • Begin mouth rinsing after the first post-op day, 3 times daily for a week:
     a) Chlorhexidine 0.2% (e.g., Savacol, Oral B Plaqacide)
     b) Warm salt water (1 tsp salt in warm water)
   • Brush areas not involved in surgery.
   • Apply petroleum jelly (Vaseline) to lips for 2 days post-op.
7. Stitches/Sutures:
   Dissolving sutures are typically used and will fall out or dissolve within 1–2 weeks.
8. Medications:
   Antibiotics and pain relief will be prescribed. Take them as instructed.
9. Other Activities:
   Avoid driving or operating machinery for 24 hours (or longer if advised) after sedation/anaesthesia.
   Avoid alcohol and smoking for at least 3 days post-surgery.
10. Return to School/Work:
    Advice will depend on the surgery type and your job. A medical certificate will be provided.
11. Other Problems:
    Difficulty swallowing, sore throat, or muscle pains may occur due to anaesthesia and should be temporary.
12. Urgent Contact for Dr Huang:
    • Phone: (02) 9262-9318 (business hours)
    • Leave a voicemail
    • Do not send text messages
    • If you cannot reach Dr Huang after hours, present to:
      • Westmead Hospital Emergency
      • Prince of Wales Hospital Emergency
      • Sydney Children’s Hospital Emergency
        and ask to see the Oral & Maxillofacial Surgery Registrar on behalf of Dr Huang.