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Question:
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| Twice in my life, incredibly a complete stranger came up behind me a sucker punched me on the right mandible with their right fist, breaking the left mandible. They broke in the same location even between the same teeth both times. The first time I was lucky even though I had no insurance I went to a private hospital and they took me in and I got a great specialist who made sure not to screw on any metal plate. 11 years later when the second incident ocurred, I went to a public hospital. I didn't really worry as I turned out fine the first time. They cut open my gums on the inside of my mouth and screwed in a metal plate causing a lot of nerve damage. The plate was removed two years later and a third unneccessary surgery where they really screwed up by cutting from the outside under the chin left the left side of my face feeling like it was on fire and assymetrical. Do you usually use metal plates or just wire the teeth? Also, I know the nerve damage can not be fixed, but do you know of any kind of procedure that will kill the pain? I have a pain specialist and nothing works. The damage from the incision on the outside leaves my muscles straining from my neck to the bone. Is there a way to cut these muscles to prevent the face from spasming?
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Answer:
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Dear Robin,
Sorry to hear what you've experienced and sustained during those accidents. The surgical treatment of any broken bone especially on the face can leave scars and post-operative pain for years. Surgeons can use wires and plates to reposition and restore the post-trauma defect and that can cause pos-op pain for years. I can not speculate on the fact why there was a wire used in the first surgery and left almost no symptoms and why there was a plate used and a nerve damage left on the second time. My guess would be that there was more damage and some free broken bony segments in the second incident that needed the use of plate to secure them as it often happens in the consecutive trauma to the same region. There are several methods to reduce post traumatic pain available to us in the States. I don't know who you're seeing now but if you contact our clinic and come in for the diagnosis we may be able to help you to at least localize the source of pain and offer some alternative treatments to deal with existing symptoms. We may also be able to refer you to a well recommended healthcare facility in the States.
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