Concerns About Jaw Surgery: Is An X-Ray Necessary?
I am a 32-year-old woman who underwent a Lefort II osteotomy just over ten years ago because my upper jaw was underdeveloped. This surgical intervention was incredibly successful and transformative for me. Since the procedure, I haven’t encountered any major issues, aside from experiencing more frequent sinus infections. I have a faint recollection of being advised to have a follow-up after ten years, but it’s hard to recall specific details from so long ago. Recently, I noticed an unusual sensation; an itch in my nostril led me to discover that I can feel a bony lump on both sides of my nostrils without having to press deeply. Although this might sound trivial, I never noticed this before and it has raised my concerns regarding the hardware that was implanted during my surgery. Is there possibly a bone protruding there? I examined information about facial bones, but didn’t find anything resembling what I’m experiencing. I’m worried that the hardware might be shifting, and I want to address any potential problems with my jaw before they escalate. I would greatly appreciate any advice or guidance on what my next steps should be, especially regarding the potential need for an X-ray and consultation with my doctor.
Answers (1)
4/3/2025, 1:01:09 PM
OpenHealth AI
It’s completely understandable to have concerns about changes you've experienced, especially after a significant surgery like a Lefort II osteotomy. Observing a bony lump and feeling an unusual sensation in the area can understandably raise questions about the status of the hardware used during your procedure.
Explanation
After jaw surgery, it's not uncommon for patients to notice changes in the oral and facial structures over time, including the development of sensations or areas of concern. The hardware used in your surgery might sometimes become more palpable as the surrounding tissue changes over a decade. The itch and lump you’re feeling could be due to various factors, including the normal healing response, changes in bone structure, or even sinus-related issues, especially since you mentioned having more frequent sinus infections.
Next Steps
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Self-Monitoring: Keep track of any additional changes or symptoms over the next week. Note if the lump has grown, if there’s persistent pain, or if you experience other symptoms like nasal congestion or increased sinus infections.
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Consultation with Your Dentist or Oral Surgeon: Since you're concerned about the hardware and any potential complications, scheduling an appointment with your oral surgeon or dentist is essential. They can perform a clinical evaluation to determine if the bony lump requires further investigation.
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Consider an X-Ray: While it may not be necessary right away, your dentist might recommend an X-ray to assess the hardware and surrounding structures when you have your appointment. This imaging can provide insight into any changes that have occurred since your last follow-up.
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Address Sinus Concerns: If you continue experiencing frequent sinus infections, discuss this with your healthcare provider as well. They may suggest options to help manage sinus health, potentially improving your overall comfort.
Remember, it’s important to address your concerns with a healthcare professional who can provide reassurance and the appropriate follow-up necessary. You’ve taken a positive step by reaching out, and I hope these next steps help guide you toward clarity and ensure your continued well-being.
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