Lefort 1, BSSO, and Genio. Advancement for Sleep Apnea

[Guest guest]

Hi All,

I'm new to this list. I've been reading the past posts and have

found them very helpful.

I am scheduled to have surgery on Dec 2. I've been in braces for 18

mos. I had braces as teenager, but it never solved the problem with

the retrognathic lower jaw. As adult I now have severe sleep apnea

(not overweight) for which I have been unable to find a full face

mask to fit properly. So after months of frustration, I was

referred by pulmonologist to the OS to the OD. I will have the

LeFort I, BSSO, genio advancement and possibly turbinectomy. I have

been told I will not be wired, but rubber banded. These procedures

will be to open up the airway which is much narrower than it should

be.

Since I'm no " spring chicken " (61), had major surgery for cancer 14

years ago & reconstructive surgery 8 years ago ( I remain cancer

free), I didn't make this decision for orthognathic surgery without

a lot of contemplation. If any one has had these procedure done for

sleep apnea or not sleep apnea, I had appreciate some insight on

these:

1) Medications - Can you take oral meds or must I find a liquid

alternative? (I am on some daily meds such as Sythroid, Zocor, etc)

2) Any recommendations for non-lactose smoothies? I am going to

try the rice milk. I'm severely lactose intolerant. I'm also going

to consult with a dietician. I'll have to Boost, etc. too.

3) One of my main concerns is breathing. I have a very reactive

airway and asthma (been well controlled). Did any of you have any

problems with breathing straight of surgery?

4) How long before you can lay down on your side? I would imagine

they don't want a lot of pressure on the jaws for a while.

5) Did any one have BCBS Federal Employees insurance for the

surgery and did you have any problems with them? My OS is not a

participating doctor so anticipate my portion will be larger.

Thanks for any insight. Many questions to ask the surgeons when I

see them next.

Thanks, Shirley

[Guest guest]

Hi All,

I'm new to this list. I've been reading the past posts and have

found them very helpful.

I am scheduled to have surgery on Dec 2. I've been in braces for 18

mos. I had braces as teenager, but it never solved the problem with

the retrognathic lower jaw. As adult I now have severe sleep apnea

(not overweight) for which I have been unable to find a full face

mask to fit properly. So after months of frustration, I was

referred by pulmonologist to the OS to the OD. I will have the

LeFort I, BSSO, genio advancement and possibly turbinectomy. I have

been told I will not be wired, but rubber banded. These procedures

will be to open up the airway which is much narrower than it should

be.

Since I'm no " spring chicken " (61), had major surgery for cancer 14

years ago & reconstructive surgery 8 years ago ( I remain cancer

free), I didn't make this decision for orthognathic surgery without

a lot of contemplation. If any one has had these procedure done for

sleep apnea or not sleep apnea, I had appreciate some insight on

these:

1) Medications - Can you take oral meds or must I find a liquid

alternative? (I am on some daily meds such as Sythroid, Zocor, etc)

2) Any recommendations for non-lactose smoothies? I am going to

try the rice milk. I'm severely lactose intolerant. I'm also going

to consult with a dietician. I'll have to Boost, etc. too.

3) One of my main concerns is breathing. I have a very reactive

airway and asthma (been well controlled). Did any of you have any

problems with breathing straight of surgery?

4) How long before you can lay down on your side? I would imagine

they don't want a lot of pressure on the jaws for a while.

5) Did any one have BCBS Federal Employees insurance for the

surgery and did you have any problems with them? My OS is not a

participating doctor so anticipate my portion will be larger.

Thanks for any insight. Many questions to ask the surgeons when I

see them next.

Thanks, Shirley