Posted by seattlebill on August 20, 2007 at 09:39:28:

With apologies to Elisabeth Kubler-Ross, I am re-posting this, which was originally a response to another post a few days ago. I hope that it is generally helpful.

A general timeline for recovery post-MMA happens in these phases.

1) Initial Peri-op Phase: 1-5 days. The initial peri-op hospital phase (the "glad I'm alive", OMG- what have I done, oh boy- now what) involves intense recovery. Though it is much feared, it passes quickly and leaves indelible memories particularly if this is your first surgical experience.

2) Early Post-op Adaptation Phase: 3-14 days post-op. This is typically where most of us learn to confront and adapt to the typical post-op lifestyle changes. (ie, a swollen face, closed mouth, altered caloric intake, +/- pain , pain meds, fatigue, etc...). This is where advice, ingenuity, and mutual support pays off.

3)"Doldrum" phase : 2-4 weeks post-op. In this stalled phase of early recovery, it is common to be bored, look for any sign of progression (wanting "real" food,arch bars off, etc...), be mildly depressed (common with anything involving a slow recovery), and be persistently fatigued. Distractions, reassurance, and activity help in this period.

4) Turning the corner phase: 4-6 weeks post-op. Lots of positive things happen during this period. Arch bars get removed, braces get adjusted, diet improves, we feel more energetic and feel better rested. Physiologically, as with any major procedure, this is about the time where the healing body stops sucking energy stores and allows you to function more normally. Most of us really start to feel "normal" around this time.

5) "MIDDLE" Recovery Phase: 2-4 months post-op. Gradual restoration of normal eating (soft-semi chew, minced, full chew), normal mouth opening, restoration of facial and oral sensation, return to active life and work, etc... But, this is just the "middle" phase ! We're still not done yet !

6) LATE Recovery phase: 4-8 months post-op. Complete return of normal eating, restoration of most of facial sensation (though full restoration in some areas can be delayed up to 12-18 months), and finally a time frame where we can really judge how effective the OSA improvement can be ! This is the time for a repeat sleep study. Sleep architecture patterns will have equilibrated and we can really fairly judge our improvement without physiologic impairment from surgery clouding the results.

7) RESIDUAL PHASE : 8+ months post-op. By now, we have generally recovered and are dealing with residual effects of the surgery. Sleep studies will either demonstrate cure, improvement, or need for further procedures. Residual sensation may need more time to recover, or may not improve at all. Dental allignment may need to be addressed, etc...
Basically, at this stage, we are what we are...and must move forward from there.

Bottomline: It really does take about 6 months for a full recovery, eventhough there are definite stages of notable improvement. An MMA recovery is truly a marathon, and NOT a sprint.

Bill

Follow Ups:

• Re: The Phases of Post-op Recovery sleepy-in-seattle 08:23 8/21/07 (1)
  • Re: The Phases of Post-op Recovery DarkStranger 09:37 8/21/07 (0)

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