Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Wow, 5% seems like a lot of people *worried aura* --- andreag078 wrote: --------------------------------- Hi I have pretty much decided to have surgery, and am wondering if there's anyone reading this who ended up with permanent numbness after the surgery and got used to it? My surgeon told me that 5% of his patients end up permanently numb, and that they hate it at first but over time they get used to it and it's not a big problem for them. I find that hard to imagine although don't disbelieve him. Like many people, I suppose, the idea of being permanently numb makes me shudder. Thanks, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Hi , My OS actually gave a higher percentage of possible numbness for my type of surgery. But when he was talking about permanent numbness, he didn't mean complete numbness. There is a big difference. He said that permanent numbness is usually in a smaller area of the lip or palate etc, and that it is not complete. I mean, that you can feel deep pressure, or temperature or in other ways not have complete numbness. That is more rare. And I most often see reports of limited numbness, such as limited to the inside of one side of the lip, or a portion of the tongue (which is still able to function, just has a patch of numbness). I was really concerned about this when I was told about it too, but my OS assured me that it was not a functional paralysis, and that there is a difference between complete numbness and the partial numbness that can be permanent. I don't know if this helps, but it really helped me. Hugs, Fran > > > --------------------------------- > Hi > > I have pretty much decided to have surgery, and am > wondering if > there's anyone reading this who ended up with > permanent numbness after > the surgery and got used to it? > > My surgeon told me that 5% of his patients end up > permanently numb, > and that they hate it at first but over time they get > used to it and > it's not a big problem for them. > > I find that hard to imagine although don't disbelieve > him. Like many > people, I suppose, the idea of being permanently numb > makes me shudder. > > Thanks, > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Hi , I've just gone through this surgery and I'm quite numb, but I'm only 2 weeks so I've got lots of time (but currently pretty freaked out about it). Both my sister and a friend had this done a while back. They both have some permanent numbness on their chin, my sister has some on the side of her face. They both said that they have absolute no regrets, that the advantages of the surgery outweighed the numb feeling, and they are quite used to it, it doesn't bother them on a day to day basis. Pam > Hi > > I have pretty much decided to have surgery, and am wondering if > there's anyone reading this who ended up with permanent numbness after > the surgery and got used to it? > > My surgeon told me that 5% of his patients end up permanently numb, > and that they hate it at first but over time they get used to it and > it's not a big problem for them. > > I find that hard to imagine although don't disbelieve him. Like many > people, I suppose, the idea of being permanently numb makes me shudder. > > Thanks, > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 If that doc has 5 percent of his patients turn out completely numb, all around the mouth and chin... well, that also means 95 percent do not. But that's no help if you're one of the 5 percent. Ask him again about that. If he means that only 5 percent of his patients come out with ANY permanent numbness, that's quite different. Many people do have a residual spot of numbness here or there, and do inded reach the point of ignoring it. Cammie > > > --------------------------------- > Hi > > I have pretty much decided to have surgery, and am > wondering if > there's anyone reading this who ended up with > permanent numbness after > the surgery and got used to it? > > My surgeon told me that 5% of his patients end up > permanently numb, > and that they hate it at first but over time they get > used to it and > it's not a big problem for them. > > I find that hard to imagine although don't disbelieve > him. Like many > people, I suppose, the idea of being permanently numb > makes me shudder. > > Thanks, > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 I had lower jaw advancement last July and I still have a numb chin and bottom lip. My surgeon told me that it typically takes 1 year for feeling to return (although he did not guarantee it). I have also heard 5-7 years from other people. I, for one, DO mind it. Very, very much. If it turns out that I am part of the percentage of people who have this permanently..then I will regret ever having this surgery. -Ash Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Do you have any sensation at all? How did it feel for you the weeks after the surgery? I feel somewhat led astray, the pamphlets the Drs give you when you first look into this surgery say " numbness can last for weeks " , and there's no mention of permanent numbness - then the day before your surgery the surgeon tells you that it can last for months. They're misleading, and don't give you the full story before you start the process. Pam > I had lower jaw advancement last July and I still have a numb chin and > bottom lip. My surgeon told me that it typically takes 1 year for > feeling to return (although he did not guarantee it). I have also > heard 5-7 years from other people. > > I, for one, DO mind it. Very, very much. If it turns out that I am > part of the percentage of people who have this permanently..then I will > regret ever having this surgery. > > -Ash Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Hi Ash Thanks for the honest reply. I really hope the feeling comes back. Do you mean your surgery was in July 2005? If so there's lots of time for it to come back yet. I saw your photos and think your chin looks lovely. My surgeon said that people who do have *real* permanent numbness despise it at first and then get used to it. I wonder how long getting used to it would take - many many months, I would guess. Hopefully you will never know. Best wishes, > I had lower jaw advancement last July and I still have a numb chin and > bottom lip. My surgeon told me that it typically takes 1 year for > feeling to return (although he did not guarantee it). I have also > heard 5-7 years from other people. > > I, for one, DO mind it. Very, very much. If it turns out that I am > part of the percentage of people who have this permanently..then I will > regret ever having this surgery. > > -Ash Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Hi Ashlee, I looked at your photos too, and think you look great! I hope your feeling comes back - what I understand is that the permanent numbness would not be your whole chin, but just a small portion. Hopefully this won't be the case for you, but you're young so you should keep getting more and more sensation, it's probably just so gradual that aren't noticing it. Pam > I had lower jaw advancement last July and I still have a numb chin and > bottom lip. My surgeon told me that it typically takes 1 year for > feeling to return (although he did not guarantee it). I have also > heard 5-7 years from other people. > > I, for one, DO mind it. Very, very much. If it turns out that I am > part of the percentage of people who have this permanently..then I will > regret ever having this surgery. > > -Ash Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Thanks for the comments & Pam! (Oh, and yep, my surgery was July 25). Honestly, my chin could stay numb forever and I could probably learn to live with that..it's really my bottom lip numbness that is driving me nuts for various reasons. -Ash Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 > > I had lower jaw advancement last July and I still have a numb chin > and > > bottom lip. My surgeon told me that it typically takes 1 year for > > feeling to return (although he did not guarantee it). I have also > > heard 5-7 years from other people. > > > > I, for one, DO mind it. Very, very much. If it turns out that I am > > part of the percentage of people who have this permanently..then I > will > > regret ever having this surgery. > > > > -Ash My Laforte was done last December and I am still numb. My total nose and upper lip is affected. I still have no idea if my nose is running or if anything is on my face. My braces came off 4 weeks ago. and It doesn't feel any different to my lips and surrounding areas. If I had to do it again knowing what I do, I wouldn't do it. I would have looked into different options. When my surgeon told me about numbness he made it sound as if only my palate could be numb and the chances of it remaing were slim. I also have had 2 root canals on my front teeth due to the surgery trauma. The tough thing was since I have no feeling in my face and nose I couldn't tell something was wrong until my face swelled. I have had many sinus infections since my surgery. This has truly been a learning experience for me. I hope things go better for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Pam - My OMS told me the risks right from the beginning, although he knew that I had already read up on everything. I think that acquiring some basic amount of knowledge about these surgeries should be the patient's responsibility - don't expect your surgeon to tell you every little thing about it, because they won't. It frustrates me when I read about someone about to undergo this radical surgery and, at the last minute, not knowing what kind of surgery they will be having or why. This is one type of surgery that should never be rushed into, but planned ahead for and read up on way in advance before signing on the dotted line. Do a web search and learn about the procedures you will be having; and ask questions when you go to your Surgeon! Just a thought! ~~~~ Diane (Idaho) > > > I had lower jaw advancement last July and I still have a numb > chin > > and > > > bottom lip. My surgeon told me that it typically takes 1 year > for > > > feeling to return (although he did not guarantee it). I have > also > > > heard 5-7 years from other people. > > > > > > I, for one, DO mind it. Very, very much. If it turns out that I > am > > > part of the percentage of people who have this permanently..then > I > > will > > > regret ever having this surgery. > > > > > > -Ash > > My Laforte was done last December and I am still numb. My total nose > and upper lip is affected. I still have no idea if my nose is running > or if anything is on my face. My braces came off 4 weeks ago. and It > doesn't feel any different to my lips and surrounding areas. > If I had to do it again knowing what I do, I wouldn't do it. I would > have looked into different options. When my surgeon told me about > numbness he made it sound as if only my palate could be numb and the > chances of it remaing were slim. I also have had 2 root canals on my > front teeth due to the surgery trauma. The tough thing was since I > have no feeling in my face and nose I couldn't tell something was > wrong until my face swelled. I have had many sinus infections since > my surgery. This has truly been a learning experience for me. I hope > things go better for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 Hi Diane, I didn't go into this not knowing what kind of surgery I was getting or why - your comment was rude! I knew exactly what I was getting done and why. I don't believe the numbness issues people are having is a " little thing " are you refer to it. In my early meetings with my OS as I was deciding whether or not to go through with the braces & surgery, the numbness issue was never highlighted as a major side effect, which I now believe it to be by the amount of people that suffer from it. The numbness issue was highlighted as something that will take some weeks to subside, and was clumped in with the bruising, the swelling, the liquid diet and all the other things you deal with. Just before the surgery my OS made a big point of letting me know that it could take a year for the numbness to go away - there was nothing said about this before. > > > > I had lower jaw advancement last July and I still have a numb > > chin > > > and > > > > bottom lip. My surgeon told me that it typically takes 1 year > > for > > > > feeling to return (although he did not guarantee it). I have > > also > > > > heard 5-7 years from other people. > > > > > > > > I, for one, DO mind it. Very, very much. If it turns out that > I > > am > > > > part of the percentage of people who have this > permanently..then > > I > > > will > > > > regret ever having this surgery. > > > > > > > > -Ash > > > > My Laforte was done last December and I am still numb. My total > nose > > and upper lip is affected. I still have no idea if my nose is > running > > or if anything is on my face. My braces came off 4 weeks ago. and > It > > doesn't feel any different to my lips and surrounding areas. > > If I had to do it again knowing what I do, I wouldn't do it. I > would > > have looked into different options. When my surgeon told me about > > numbness he made it sound as if only my palate could be numb and > the > > chances of it remaing were slim. I also have had 2 root canals on > my > > front teeth due to the surgery trauma. The tough thing was since I > > have no feeling in my face and nose I couldn't tell something was > > wrong until my face swelled. I have had many sinus infections since > > my surgery. This has truly been a learning experience for me. I > hope > > things go better for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2005 Report Share Posted September 28, 2005 I agree - permanent numbness is not a little thing. Surgeons should tell everyone from the beginning that it is a risk - that's what 'informed consent' is about. > > > > > I had lower jaw advancement last July and I still have a > numb > > > chin > > > > and > > > > > bottom lip. My surgeon told me that it typically takes 1 > year > > > for > > > > > feeling to return (although he did not guarantee it). I > have > > > also > > > > > heard 5-7 years from other people. > > > > > > > > > > I, for one, DO mind it. Very, very much. If it turns out > that > > I > > > am > > > > > part of the percentage of people who have this > > permanently..then > > > I > > > > will > > > > > regret ever having this surgery. > > > > > > > > > > -Ash > > > > > > My Laforte was done last December and I am still numb. My total > > nose > > > and upper lip is affected. I still have no idea if my nose is > > running > > > or if anything is on my face. My braces came off 4 weeks ago. > and > > It > > > doesn't feel any different to my lips and surrounding areas. > > > If I had to do it again knowing what I do, I wouldn't do it. I > > would > > > have looked into different options. When my surgeon told me > about > > > numbness he made it sound as if only my palate could be numb > and > > the > > > chances of it remaing were slim. I also have had 2 root canals > on > > my > > > front teeth due to the surgery trauma. The tough thing was since > I > > > have no feeling in my face and nose I couldn't tell something > was > > > wrong until my face swelled. I have had many sinus infections > since > > > my surgery. This has truly been a learning experience for me. I > > hope > > > things go better for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 Hi Diane. Can I tell you that no one that goes through this surgery goes without not knowing waht to expect. It is very hard to know how everyone is going to feel. I for one had no option but to have the surgery because of my 15mm overbite and the horrific headaches and frozen jaws which I could not longer put up with. It took me 10 years to pluck up the courage to go through this surgery fully knowing that I could have permanent numbness in parts of my face, but at the end I was willing to sacrifice my biggest fear for some releif, It does not mean you deal with the fear any better than if you did not know. I do a lot of meditation to help me deal with the constant numbness which I can not control and which I hate, it does not mean that I like it or I can deal with it any better than if I did not know it was going to happen. I for one can feel for Pam beause we are at the same point in our recovery. Some days are better than others, but you survive each day as they come. Its hard and unless you have gone through it yourself its really hard to judge some one else. Also you have to remember we are all different and we all have different levels of pain thresholds. I for one have had 10 IVF treatments 2 babies and no painrelief for either births, so my pain threshold is quite high, but I still find it frustrating the numbness in my face. > > > > > I had lower jaw advancement last July and I still have a > numb > > > chin > > > > and > > > > > bottom lip. My surgeon told me that it typically takes 1 > year > > > for > > > > > feeling to return (although he did not guarantee it). I > have > > > also > > > > > heard 5-7 years from other people. > > > > > > > > > > I, for one, DO mind it. Very, very much. If it turns out > that > > I > > > am > > > > > part of the percentage of people who have this > > permanently..then > > > I > > > > will > > > > > regret ever having this surgery. > > > > > > > > > > -Ash > > > > > > My Laforte was done last December and I am still numb. My total > > nose > > > and upper lip is affected. I still have no idea if my nose is > > running > > > or if anything is on my face. My braces came off 4 weeks ago. > and > > It > > > doesn't feel any different to my lips and surrounding areas. > > > If I had to do it again knowing what I do, I wouldn't do it. I > > would > > > have looked into different options. When my surgeon told me > about > > > numbness he made it sound as if only my palate could be numb > and > > the > > > chances of it remaing were slim. I also have had 2 root canals > on > > my > > > front teeth due to the surgery trauma. The tough thing was since > I > > > have no feeling in my face and nose I couldn't tell something > was > > > wrong until my face swelled. I have had many sinus infections > since > > > my surgery. This has truly been a learning experience for me. I > > hope > > > things go better for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 Hello everyone. I have not checked back in for a while but I have been monitoring. I had my surgery in April of 2003. My lower jaw was rotated slightly as well as my upper was advanced forward a few millimeters. I still have what I could sort of call " numbness. " To be more exact I would so I have a spot in my cheek, part of my lower lip and part of my chin still having what I prefer to call altered sensation. My gum line feels some of this " altered sensation. " When I get my teeth cleaned or bite my lip, I feel I pressure or pain. Especcially when flossing or a deep cleaning. Most of the time, I don't realize it being an issue. Overall in the scheme of things, my bite is better, I can shew easier and I know longer have a crooked smile. If I could do it over, I would want to be knocked out for the first 7 days. Other than that, I knew the risk that this sensation could be permanent. Everyonce in a while, When I poke at my gum line or any other area and feel pressure or pain, I know the feeling is there. The closest I can say altered sensation to me feels more like there is something under the skin (scar tissue?) that causes a strange pressure when I pay attention to it. Like right now. If you can be helped medically and/or astetically by the surgery, then the numbness risk is not that bad, even if you end up with it. I still feel when I kiss my wife and kids even though most of the time I think part of the lip feels the altered sensation. Considering all of it, it is not that bad. - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 Hi , thanks for relating your experience. I am hoping that most people that have this done, including me, will realize the benefits of the surgery outweigh the side-effects. The slow healing process is hard for some of us who have just come out of surgery, so it's nice to hear from someone who is down the road a ways and happy with the outcome. Pam > Hello everyone. I have not checked back in for a while but I have > been monitoring. > > I had my surgery in April of 2003. My lower jaw was rotated slightly > as well as my upper was advanced forward a few millimeters. > > I still have what I could sort of call " numbness. " To be more exact > I would so I have a spot in my cheek, part of my lower lip and part > of my chin still having what I prefer to call altered sensation. My > gum line feels some of this " altered sensation. " > > When I get my teeth cleaned or bite my lip, I feel I pressure or > pain. Especcially when flossing or a deep cleaning. Most of the > time, I don't realize it being an issue. > > Overall in the scheme of things, my bite is better, I can shew > easier and I know longer have a crooked smile. > > If I could do it over, I would want to be knocked out for the first > 7 days. Other than that, I knew the risk that this sensation could > be permanent. Everyonce in a while, When I poke at my gum line or > any other area and feel pressure or pain, I know the feeling is > there. The closest I can say altered sensation to me feels more like > there is something under the skin (scar tissue?) that causes a > strange pressure when I pay attention to it. Like right now. > > If you can be helped medically and/or astetically by the surgery, > then the numbness risk is not that bad, even if you end up with it. > I still feel when I kiss my wife and kids even though most of the > time I think part of the lip feels the altered sensation. > Considering all of it, it is not that bad. > > - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 My surgeon was very open about the surgery and what he was going to do. He went through the risks and complications many times. clarkkimmer wrote: > > I had lower jaw advancement last July and I still have a numb chin > and > > bottom lip. My surgeon told me that it typically takes 1 year for > > feeling to return (although he did not guarantee it). I have also > > heard 5-7 years from other people. > > > > I, for one, DO mind it. Very, very much. If it turns out that I am > > part of the percentage of people who have this permanently..then I > will > > regret ever having this surgery. > > > > -Ash My Laforte was done last December and I am still numb. My total nose and upper lip is affected. I still have no idea if my nose is running or if anything is on my face. My braces came off 4 weeks ago. and It doesn't feel any different to my lips and surrounding areas. If I had to do it again knowing what I do, I wouldn't do it. I would have looked into different options. When my surgeon told me about numbness he made it sound as if only my palate could be numb and the chances of it remaing were slim. I also have had 2 root canals on my front teeth due to the surgery trauma. The tough thing was since I have no feeling in my face and nose I couldn't tell something was wrong until my face swelled. I have had many sinus infections since my surgery. This has truly been a learning experience for me. I hope things go better for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 29, 2005 Report Share Posted September 29, 2005 Hi thanks for your post. When was your surgery - maybe there is still plenty of time for the feeling to return? I had my baby with no pain relief either, and it's the biggest thing I've ever done. I'd do it again for a baby at the drop of a hat. I have to admit that I've wondered a lot how surgery and any possible fall out compares to that. I hate the numb feeling after a dentist visit, that's for sure. Thanks, > > > > > > I had lower jaw advancement last July and I still have a > > numb > > > > chin > > > > > and > > > > > > bottom lip. My surgeon told me that it typically takes 1 > > year > > > > for > > > > > > feeling to return (although he did not guarantee it). I > > have > > > > also > > > > > > heard 5-7 years from other people. > > > > > > > > > > > > I, for one, DO mind it. Very, very much. If it turns out > > that > > > I > > > > am > > > > > > part of the percentage of people who have this > > > permanently..then > > > > I > > > > > will > > > > > > regret ever having this surgery. > > > > > > > > > > > > -Ash > > > > > > > > My Laforte was done last December and I am still numb. My > total > > > nose > > > > and upper lip is affected. I still have no idea if my nose is > > > running > > > > or if anything is on my face. My braces came off 4 weeks ago. > > and > > > It > > > > doesn't feel any different to my lips and surrounding areas. > > > > If I had to do it again knowing what I do, I wouldn't do it. I > > > would > > > > have looked into different options. When my surgeon told me > > about > > > > numbness he made it sound as if only my palate could be numb > > and > > > the > > > > chances of it remaing were slim. I also have had 2 root canals > > on > > > my > > > > front teeth due to the surgery trauma. The tough thing was > since > > I > > > > have no feeling in my face and nose I couldn't tell something > > was > > > > wrong until my face swelled. I have had many sinus infections > > since > > > > my surgery. This has truly been a learning experience for me. > I > > > hope > > > > things go better for you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 30, 2005 Report Share Posted September 30, 2005 Hi , I am 2.5 weeks post op.Top and bottom jaw, 4mm gum reduction and chin. I have been doing very well. I only have had 3 bad days. I really have had no pain because I have been very numb all the way through, I have had toothaches, ear aches, headaches and sore throat, but until a few days ago, which is when the numbness started to go away, that I have had some deeper pain where the incision are. I have found the numbness frustrating because I love kissing my children and I can not feel anything, that upsets me, I know with time it gets better, but of all the operation its the only thing I can whinge about. My expectations from the surgery was a lot worse than what I ended it up with. I also find the numbness frustrating because I can not talk properly and in my job I need to talk and its hard when people do not understand you. I am working from home as I have been able to take extra time off. The doctor told me I would be back on top of things in a couple of weeks, but I have found that even though I can do everything ok, its hard to deal with family and recuperating as well as going back to work. I also hate the numbness after a filling by the dentist and the feeling of where the put the local in your gums. I had a bad experience years ago when I had my wisdom teeth taken out, which made my tonge, bottom of my mouth, lips and chin numb for days. I hate it as I was not prepared for it. This time around I was prepared for it, but still has not been an easy thing.The first few days it was ok, but as the time goes by you become increasingly annoyed by it. Everyday I feel more and more which its great, but I have to be open to the idea that I could have permanent numbness for the rest of my life and that its up to me to come to terms with. I am sure I will. Hugs . > > > > > > > I had lower jaw advancement last July and I still have a > > > numb > > > > > chin > > > > > > and > > > > > > > bottom lip. My surgeon told me that it typically takes > 1 > > > year > > > > > for > > > > > > > feeling to return (although he did not guarantee it). I > > > have > > > > > also > > > > > > > heard 5-7 years from other people. > > > > > > > > > > > > > > I, for one, DO mind it. Very, very much. If it turns > out > > > that > > > > I > > > > > am > > > > > > > part of the percentage of people who have this > > > > permanently..then > > > > > I > > > > > > will > > > > > > > regret ever having this surgery. > > > > > > > > > > > > > > -Ash > > > > > > > > > > My Laforte was done last December and I am still numb. My > > total > > > > nose > > > > > and upper lip is affected. I still have no idea if my nose > is > > > > running > > > > > or if anything is on my face. My braces came off 4 weeks > ago. > > > and > > > > It > > > > > doesn't feel any different to my lips and surrounding areas. > > > > > If I had to do it again knowing what I do, I wouldn't do it. > I > > > > would > > > > > have looked into different options. When my surgeon told me > > > about > > > > > numbness he made it sound as if only my palate could be > numb > > > and > > > > the > > > > > chances of it remaing were slim. I also have had 2 root > canals > > > on > > > > my > > > > > front teeth due to the surgery trauma. The tough thing was > > since > > > I > > > > > have no feeling in my face and nose I couldn't tell > something > > > was > > > > > wrong until my face swelled. I have had many sinus > infections > > > since > > > > > my surgery. This has truly been a learning experience for > me. > > I > > > > hope > > > > > things go better for you. Quote Link to comment Share on other sites More sharing options...
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