Persistent Swelling After Right Jaw Fracture Surgery: Is It Normal?

Two months after surgery for a comminuted fracture of the right mandible, there is still swelling?

I had surgery on August 3rd for a comminuted fracture of the right mandible caused by a car accident.
I used a self-paid bone plate.
It has been over two months since the surgery, but my right face is still noticeably more swollen than my left.
Is this normal, or does it indicate a surgical failure?

Rita, 10~19 year old female. Ask Date: 2017/10/07

Dr. Zhou Hongzhang reply Plastic Surgery

Swelling after a fracture surgery can often persist for several months.
You can return to the original hospital for a consultation with your physician.

Reply Date: 2017/10/07

More Info

After undergoing surgery for a right jaw fracture, it is not uncommon to experience persistent swelling, especially if the surgery involved the use of plates and screws for stabilization. The healing process for facial fractures can vary significantly from person to person, and several factors can influence the degree and duration of swelling.

Firstly, it is important to understand that swelling is a natural part of the healing process. When surgery is performed, the body responds with inflammation, which can lead to swelling in the affected area. This is the body's way of protecting the injured site and facilitating healing. In the case of jaw surgery, the surrounding tissues, including muscles and skin, can also become inflamed, contributing to the overall swelling.

Typically, swelling after jaw surgery can last for several weeks to a few months. In many cases, the swelling will gradually decrease over time. However, if you are noticing that the swelling on the right side of your face remains significantly more pronounced than the left side after two months, it may warrant further investigation. Factors such as infection, hematoma (a localized collection of blood outside of blood vessels), or improper healing could contribute to prolonged swelling.

It is also essential to consider the surgical technique used and the extent of the fracture. A comminuted fracture, which involves multiple fragments of bone, may take longer to heal and could result in more significant swelling compared to simpler fractures. Additionally, the use of hardware like plates can sometimes lead to localized irritation or inflammation, which may also contribute to swelling.

If you are concerned that the swelling is abnormal or if you are experiencing other symptoms such as increased pain, fever, or changes in sensation, it is crucial to follow up with your surgeon or healthcare provider. They may perform a physical examination and possibly imaging studies to assess the healing process and rule out any complications.

In summary, while some degree of swelling is expected after jaw surgery, persistent and significant swelling should be evaluated by a medical professional. They can provide reassurance, assess for any complications, and guide you on the appropriate steps to take for your recovery. Remember that every individual's healing process is unique, and it is essential to communicate openly with your healthcare team about your concerns and symptoms.

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