Genioplasty
1. Principles
The procedure for genioplasty in Pruzansky I HFM patients can be found in the section on orthognathic surgery. The main procedures will be correction of asymmetry of the chin and sometimes advancement.
2. Aftercare following chin corrections
To reduce swelling, the application of ice-packs or cooling devices during the early post-operative phase is advice. Intravenous steroids should also be continued for a short period postoperatively for the same purpose.
Antibiotic prophylaxis is continued for 1-5 days depending on the nature, complexity, and duration of the surgical procedure.
Early post-operative x-rays are obtained to verify correct segment position. Additional postoperative imaging is performed as needed.
Regular follow up examinations to monitor healing.
At each appointment, the surgeon must evaluate the patient's ability to perform adequate oral hygiene and wound care and should provide additional instructions if necessary.
Postoperatively, patients will have to follow three basic instructions:
1. Diet
With the intraoral approach in orthognathic chin surgery, wound healing must be supported by a soft diet for 10-14 days, starting with liquids for the first 3-4 days.
2. Oral hygiene
Patients with intraoral wounds must be instructed in appropriate oral hygiene procedures. For a time of up to 10 days care must be taken not to mechanically irritate the wound area. Toothbrush and toothpaste can be applied but must be used carefully. Medical rinses can be used for support.
3. Functional training/physiotherapy
Functional training or physiotherapy are usually not necessary. In case of persistent edema, lymph drainage is recommended.
