What problems should be paid attention to after mandibular defect repair

summary

Mandible is the largest bone in the face, once the defect, it will seriously hinder the patient's chewing and facial expression. Therefore, the patients who have the conditions should repair the mandibular defect as much as possible, and seriously strengthen the postoperative nursing.

What problems should be paid attention to after mandibular defect repair

First: general anesthesia patients according to general anesthesia postoperative routine nursing. Among them, special attention should be paid to the patients who can't open their mouth due to the fixation of intermaxillary bolt or splint. The secretion or vomit in the mouth should be sucked at any time to prevent suffocation caused by aspiration. Endotracheal intubation should be removed only after the patient's swallowing reflex is fully recovered and consciousness is fully awake. The steel wire scissors should be prepared beside the bed, so as to cut the fixed steel wire between jaws in time in case of emergency.

Second: after the patient wakes up, take the supine position according to the doctor's advice to reduce the facial swelling and keep the respiratory tract unobstructed. Small sandbags can be used to compress the iliac bone to prevent blood leakage. The oral cavity was cleaned 24 hours after the operation. The oral cavity was scrubbed with normal saline every morning and evening and after eating. The plug wire or splint in the mouth could be washed with water by syringe. Pay attention to check whether the steel wire or splint in the mouth is loose or displaced, and whether the gingiva and oral mucosa are worn or punctured.

Third: because the patients with intermaxillary fixation can not chew, they should be given nasal feeding or tube feeding of mixed milk or high nutritional liquid diet, and oral half flow diet can be given after 3-4 days. In addition to keeping the mandibular dressing clean and paying attention to oral care, effective antibiotics should be given according to the doctor's advice, and the changes of wound and body temperature in the bone graft area should be closely observed until the wound is completely healed.

matters needing attention

Bone defect is a common disease in our life, because of its great harm to patients. It is necessary to take active treatment, at the same time, we should pay attention to postoperative rehabilitation and health care to avoid recurrence.