Re: With upper and lower surgery, do they ever fix deviated septum?

[Guest guest]

Hi I am 11 days post op from upper and lower jaw surgery.

About 4 years ago I had a deviated septum and had that corrected but

still could not breath good thru my right nostril so I passed it of as

allergys. Well since the surgery I can breath perfect. The biggest

problem I used to have was at night and I would always have to lay on

my left side just to be able to breath. So I am guessing that this

helped alot and that I posssibly wasted money on having the inside of

my nose corrected. Anyway sorry to ramble. I have read on here that

some Surgeons will do that along with the Upper and lower jaw surgery.

Anyway Good luck on your upcoming surgery.

Dennis~

In orthognathicsurgerysupport , " jacobmises "

<jacobmises@y...> wrote:

> Hello. Very soon I will be having upper and lower orthognathic surgery

> through Kaiser in Oakland. Reading older posts, I noticed that

> apparently the septum is detached with upper jaw surgery. My septum is

> deviated and I have always had a very hard time breathing through my

> nose. Will they possibly correct the deviated septum? Does anyone have

> any experience with this issue?

>

> If this is the case, that would be wonderful! And if my nose were no

> longer a bit (almost not noticeably) crooked, that would be great too!

[Guest guest]

Hi ,

I will be having upper, lower and septal surgery. My septum is

deviated in a " z " pattern though it doesn't look like that if you look

at me straight on. But when I tilt my head back, it is readily

apparent. The OS will reconstruct the lower part of the nasal septum

withe upper surgery. This will leave me with the upper " z " deviation

remaining, and because the lower will be corrected, it will actually

make my nose breathing worse just post op. It will take a second

surgery after the jaw surgery stabilizes enough to allow it, to do the

final rhinoplasty that will repair the upper septum.

There seems to be a wide variety of combinations of procedures that

different OS's perform along with the jaw surgery. It seems to really

depend on your OS. I would ask them about anything you have a concern

with, and your nasal reconstruction would definately be something I

would mention. If you need a second functional rhinoplasty, be sure

to have a highly skilled surgeon do that second one. It takes a lot

more skill and experience to do a repeat rhino. My Upper septal

surgery will be done by a PS (plastic surgeon) who specializes in

this. And it is covered by insurance.

Let us know what you find out.

Hugs,

Fran

> Hello. Very soon I will be having upper and lower orthognathic

surgery

> through Kaiser in Oakland. Reading older posts, I noticed that

> apparently the septum is detached with upper jaw surgery. My septum

is

> deviated and I have always had a very hard time breathing through my

> nose. Will they possibly correct the deviated septum? Does anyone

have

> any experience with this issue?

>

> If this is the case, that would be wonderful! And if my nose were no

> longer a bit (almost not noticeably) crooked, that would be great

too!

[Guest guest]

,

some doctors certainly correct the deviated septum while they're at it.

I asked my doctor NOT to do it because I was worried it would affect

the shape of my nose and I didn't want to deal with the additional pain

in my nose. And I have to say, since the surgery I breathe GREAT! My

OMS said that lifting up and back my upper jaw has widened my breathing

passages and so more air gets in more easily. I've been a mouth

breather for life and now I'm not anymore. So I'm glad I was

conservative on the deviated septum front. But that's my personal

experience. It may be that in your case it's worth getting done. Either

way I would talk to your doctors and an ENT doc too while you're at it.

Sara

> Hello. Very soon I will be having upper and lower orthognathic

surgery

> through Kaiser in Oakland. Reading older posts, I noticed that

> apparently the septum is detached with upper jaw surgery. My septum

is

> deviated and I have always had a very hard time breathing through my

> nose. Will they possibly correct the deviated septum? Does anyone

have

> any experience with this issue?

>

> If this is the case, that would be wonderful! And if my nose were no

> longer a bit (almost not noticeably) crooked, that would be great too!

[Guest guest]

Hi Sara,

That's good to hear about your results with the mouth breathing. I

too have been like that for as long as I can remember. Honestly, the

main criterion for if I want them to do something or not to do

something is aesthetic. I would like my nose straightened out. But

the more I think about it, perhaps it would be better to wait until I

recuperate from this surgery and assess my appearance until I decide

what to do about anything else.

> > Hello. Very soon I will be having upper and lower orthognathic

> surgery

> > through Kaiser in Oakland. Reading older posts, I noticed that

> > apparently the septum is detached with upper jaw surgery. My

septum

> is

> > deviated and I have always had a very hard time breathing through

my

> > nose. Will they possibly correct the deviated septum? Does anyone

> have

> > any experience with this issue?

> >

> > If this is the case, that would be wonderful! And if my nose were

no

> > longer a bit (almost not noticeably) crooked, that would be great

too!

[Guest guest]

I need to have upper and lower surgery and am

considering switching to Kaiser at my next open

enrollment so I can get this covered. I have already

met with a surgeon (not Kaiser) and he highly

recommended Kaiser but didn't know if I would get

approval. What surgeon will be doing your surgery and

do you know the millimeters they will be moving yet?

Has Kaiser allowed you to pick any orthodontist?

Thanks,

Kim

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[Guest guest]

Hi Kim,

I have Kaiser and also been told Kaiser surgeons are very good at what they do.

I had no problems in getting approval it just took a long time to get a

consultation (6 months). I got approved on the day of my consultation.

They let you select your orthodontist but their are a few that they work with a

lot and can recommend one. As you may know already, your orthodontist needs to

be highly skilled to prepare your teeth for the surgery. Not any orthodontist

can do this.

Kim Miles wrote:

I need to have upper and lower surgery and am

considering switching to Kaiser at my next open

enrollment so I can get this covered. I have already

met with a surgeon (not Kaiser) and he highly

recommended Kaiser but didn't know if I would get

approval. What surgeon will be doing your surgery and

do you know the millimeters they will be moving yet?

Has Kaiser allowed you to pick any orthodontist?

Thanks,

Kim

__________________________________

Yahoo! Mail - PC Magazine Editors' Choice 2005

http://mail.yahoo.com

[Guest guest]

Thanks so much for the info. How did you sign up for

the appt. to get approval? Do you see a Kaiser PCP

first and then they refer or can you call directly to

Oakland's facility and request a certain dept.?

Thanks,

Kim

__________________________________________________

[Guest guest]

I understand the aesthetic concern because that was the one i had for

how my nose would look after surgery. I had a nose job done several

years before the surgery (incidentally my deviated septum had been

fixed at the time but it then grew back) and I was anxious not to

have my nose changed. Unfortunately one of the side effects of if you

have upper jaw surgery is that your nose can be pushed up a bit.

Luckily for me even though my nose was pushed up a bit it really

doesn't look bad. I can only notice a difference now when I look

really hard at my profile. What does your doctor recommend regarding

the rhinoplasty? I know several members have had one done at the same

time of their surgeries.

> > > Hello. Very soon I will be having upper and lower orthognathic

> > surgery

> > > through Kaiser in Oakland. Reading older posts, I noticed that

> > > apparently the septum is detached with upper jaw surgery. My

> septum

> > is

> > > deviated and I have always had a very hard time breathing

through

> my

> > > nose. Will they possibly correct the deviated septum? Does

anyone

> > have

> > > any experience with this issue?

> > >

> > > If this is the case, that would be wonderful! And if my nose

were

> no

> > > longer a bit (almost not noticeably) crooked, that would be

great

> too!

[Guest guest]

I told me doctor that my orthodontist highly recommended the surgery and that if

she could make a referrel to the Maxiofacial Depart. in Oakland. She said,

" sure " It was that simple. I waited patiently for four months and then decided

to call the Maxiofacial Dept. I asked how long before my appoitment and the

receptionist said it's normally 6 to 9 months but we have an appointment

tomorrow, do you want to come in? I couldn't say yes fast enough. Like I said

before, the surgeon said I was eligible and that Kaiser would cover it. I would

only have to pay my co-pay for hospital stay which is $100. I guess I got lucky

but now I'm not sure I want to go through with it.

The surgeon told me little information, he only said, I recommend it, I think

you would benefit from it and you're approved. He didn't tell me about the

swelling and the splint and the wiring.... make sure you go prepared with

questions cause it was my experience that they don't offer that much info.

Kim Miles wrote:

Thanks so much for the info. How did you sign up for

the appt. to get approval? Do you see a Kaiser PCP

first and then they refer or can you call directly to

Oakland's facility and request a certain dept.?

Thanks,

Kim

__________________________________________________

[Guest guest]

I know my underbite is is probably 7 mm at least. I'm not sure about

the specifics of how much they're moving what. Kaiser does not care

which orthodontist you use so long as they are competent and they

produce the necessary models for consultation and for surgery. It is

wise, however, to pick someone who works with Kaiser orthognathic

regularly. You can ask Kaiser orthognathic in Oakland who they work

with in your area, perhaps. The surgeons work as a tean, but my

appointments are with Dr. Poor, who, like the others, is highly

recommended.

> I need to have upper and lower surgery and am

> considering switching to Kaiser at my next open

> enrollment so I can get this covered. I have already

> met with a surgeon (not Kaiser) and he highly

> recommended Kaiser but didn't know if I would get

> approval. What surgeon will be doing your surgery and

> do you know the millimeters they will be moving yet?

>

> Has Kaiser allowed you to pick any orthodontist?

>

> Thanks,

>

> Kim

>

>

>

> __________________________________

> Yahoo! Mail - PC Magazine Editors' Choice 2005

> http://mail.yahoo.com

[Guest guest]

This concerns me a little. I have a pug nose and I worry if it is

pushed up any, you will be able to see up my nostrils. I may look

like a pig when this is all done. LOL Is there a certain type of nose

that this happens w/ more often than others?

~Rene

> > > > Hello. Very soon I will be having upper and lower

orthognathic

> > > surgery

> > > > through Kaiser in Oakland. Reading older posts, I noticed

that

> > > > apparently the septum is detached with upper jaw surgery. My

> > septum

> > > is

> > > > deviated and I have always had a very hard time breathing

> through

> > my

> > > > nose. Will they possibly correct the deviated septum? Does

> anyone

> > > have

> > > > any experience with this issue?

> > > >

> > > > If this is the case, that would be wonderful! And if my nose

> were

> > no

> > > > longer a bit (almost not noticeably) crooked, that would be

> great

> > too!

[Guest guest]

Rene,

I don't think it's so much the type of nose that matters but the type

of surgery. It does happen more often with upper jaw surgery but it

also depends on how much they move your upper jaw and in what way. I

would ask your surgeon about this...I seem to recall you had to wait

a long time before you see him but do make sure you voice your

concern about this. Sorry not to have more encouraging information on

this front. I can tell you that some people have upper surgery and

nothing happens to their nose. The change to my nose is minimal and

having a proper smile and bite totally was worth the slight tilt in

my opinion.

Sara

> > > > > Hello. Very soon I will be having upper and lower

> orthognathic

> > > > surgery

> > > > > through Kaiser in Oakland. Reading older posts, I noticed

> that

> > > > > apparently the septum is detached with upper jaw surgery.

My

> > > septum

> > > > is

> > > > > deviated and I have always had a very hard time breathing

> > through

> > > my

> > > > > nose. Will they possibly correct the deviated septum? Does

> > anyone

> > > > have

> > > > > any experience with this issue?

> > > > >

> > > > > If this is the case, that would be wonderful! And if my

nose

> > were

> > > no

> > > > > longer a bit (almost not noticeably) crooked, that would be

> > great

> > > too!

[Guest guest]

I've spoken to several doctors about moving the maxilla up

(impacting) and how it affects the nose. Some people don't notice

any changes while others notice a wider nose depending on how much

it is moved. In my case, my jaw was moved 3mm forward and 5mm up on

one side which severly bent the front of my nose and septum. I had

to have this revised with a second surgery and it still does not

look right. After consulting with another jaw surgeon, it was

discovered he may have moved my jaw too far up (trying to level it

without fitting it with my overall face) If it had been done

properly, my nose may not have been affected. Regardless, I would

get a second opinion and go with a surgeon who understands your

concern.

Mark

> > > > > > Hello. Very soon I will be having upper and lower

> > orthognathic

> > > > > surgery

> > > > > > through Kaiser in Oakland. Reading older posts, I

noticed

> > that

> > > > > > apparently the septum is detached with upper jaw

surgery.

> My

> > > > septum

> > > > > is

> > > > > > deviated and I have always had a very hard time

breathing

> > > through

> > > > my

> > > > > > nose. Will they possibly correct the deviated septum?

Does

> > > anyone

> > > > > have

> > > > > > any experience with this issue?

> > > > > >

> > > > > > If this is the case, that would be wonderful! And if my

> nose

> > > were

> > > > no

> > > > > > longer a bit (almost not noticeably) crooked, that would

be

> > > great

> > > > too!