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Posts Tagged ‘rare’

Ok, yesterday was a real nightmare that lasted till today’s morning. When my bf came home from work, I was sitting there and shaking, having some sort of shock from another microfracture of the palate. I do not know if I was more scared or in pain or just feeling like the most unlucky being ever, knowing that I feel a lot of pressure on another place of my palate and awaiting another “CRACK!” and everything that comes with it. I did not eat almost anything and could not drink much either after the second fracture forming. Also my cheek got swollen and my right eye hurt a lot.

Seriously, I thought I might die that night and told my bf to call my grandmother and best friend if something happened. Silly, I know. But then, I felt really miserable.

Bf came home and stayed by my bed till I went to sleep. I swallowed another painkillers and tried to sleep, but kept waking up. One of the reasons was the pain, another one was that I knew that another place of my palate will “loosen itself”(as the doc claims) and wanted it to happen while I am sleeping – so I was stressing myself a lot. I woke up at night about 20 times, maybe more. Also sleeping on my back and being scared to turn to the side, as I usually sleep, did not help.

I swallowed another painkiller at 5am and finally fell asleep, to be woken up by bf’s creepy alarm clock at 7am. (I swear I am gonna kill that guy one fateful morning!) I could not sleep anymore, but strangely enough, I could not feel any more pressure on my jaw and the pain was going away as well. Probably, the fracture formed sometime from 5am to 7am when I was sleeping and under Ibalgin. I am glad I did not have to hear another “Crack! Your skull is tearing, just relax… it is normal…” 😉

I had a huge dilemma this morning, because I did not brush my teeth for one whole day and night and I should keep very strict oral hygiene, but then the first and biggest fracture came when I tried to rinse my mouth while cleaning my teeth, so I was quite scared to touch them. I knew the doc would scold me if I did not, so I at least brushed them a little, but stopped when it started to hurt.

I took bus and subway to the hospital (took 1 hour because of traffic jam) and got checked up. My doc teamed up with 2 younger doctors who seemed like her pupils and examined my mouth and teeth. She listened to my story about yesterday and saw the paper from the chief doctor (who is also one of my surgeons), but dismissed the idea with “No bones broke. It just does not happen. No bones ever broke in my patients, there is nothing that could break in there.” Ah, uh… yeah, right… I mean, ehm… ok then…

After a while, she agreed there could be some pressure on the bone and the bone could have loosened a little where they did not cut into the end and so the bone loosened till the end and… and… in other words, agreed that there probably are microfractures and the bone broke under the pressure. She said that they would not see anything on the x-ray and refused to do one. But since I feel way better today, I think it wont be necessary. I hope.

Now, my doctor is a scary woman, but she knows what she is doing (even if she has subtlety of a brick). The other 2 docs were probably even scarier in their own way – especially one of them, who examined my mouth and suggested another surgery consisting of bone breaking and another distraction, this time to gain length. My doc smiled at him and said “Yeah, right, this way we create a delightful cleft patient.” Sometimes I wonder, if these docs ever get to operate on anyone… I feel sorry for the poor poor bastard.

Anyway, she explained to them, that she will prepare my teeth for the next surgery using braces and elastics. Then she said we will need Bimaxillary surgery. Ehm… wait! Nobody told me about it! Till I started the treatment, they kept talking only about the upper jaw and Le Fort I advancement. Now… what a delightful news…

So, my plan changed quite drastically. I will need not only Le Fort I on the upper jaw, but also some sort of surgery on the lower one, that will change the angle of my lower jaw. The good part is, that I should not need genioplasty if they do this surgery, because it will turn my chin the right way. The bad is… damn it, both jaws broken and fixated by titanium plates, braces on both jaws for ages… not to mention the whole inside of my mouth full of incisions and swollen. Does not look like a small thing. I have been always scared of lower lip ptosis (my brother and mother suffer from them after their surgeries). I really hope I at least won’t have THAT complication.

Anyway, my screw was turned by my doc and it did not hurt much, so I suppose the bone(s) loosened the right way and it will stay like this with no more complications anymore.

By the way, while seeing my huge teeth with huge gap between them, I am getting a wicked idea about posing with a force cup (toilet plunge?) while screaming “DAAAA!” as a living Raving Rabbid 🙂 Yes, I know it is silly. But it is not so delightfully crazy that one just has to do it? 😉

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Ok, today did not go well. Not at all.

I woke up at 9am to brush my teeth and turn the screw. I wanted to go to sleep a little more after, but things went terribly wrong.

As I was brushing my teeth, I felt sharp pain that came with something breaking inside of my mouth with the nasty “CRACK!” sound. The pain became even worse in few seconds and I could feel the inside of my palate move. A lot of pressure, a lot of pain.

I panicked.

At first, I thought the Hyrax broke or one of the rings around my teeth broke or for gods sake at least only a tooth broke…. but nothing of that happened and the pain and pressure did not cease.

I called my bf to work and gibbered something about something breaking and going to hospital, grabbed the few things I thought I might need if they needed to hospitalise me again and rushed to hospital (taking subway and bus, it took about 30 minutes) .

I contacted one of the nurses there and she sent me to chief doctor who was doing consultations in another part of hospital. I went there and was waiting for about 15-20 minutes, thinking that my bones broke and I will need another surgery. It was the worst time of my life.

He had a look at my palate and teeth and listened to my panicked description of the whole incident and then told me, that my bone broke, but that it happens sometimes. He explained, that after they perform the osteotomy, they leave your jaw held by about 4 places – under your nose (where it is flexible and stretches) and on the end of the jaw. The place on my right jaw broke. The pressure from Hyrax broke the bone there. Scary, is it not? But he says it is ok, they call it wing loosening, it happens sometimes, no big deal… right? *nervous twitch*

My fracture   candarpain.JPG

To be honest, I am calmer, because I know nothing totally absolutely nasty happened, but then… I do not care if it is ok for the doctors! It is fracture! It hurts! It feels weird!

I did not even have an x-ray and they want me to keep turning the screw. Honestly, when he turned it in hospital (because I did not in the morning, obviously), I felt like crying by pain and now I have to do it myself?

Well, since it is getting late and I am 2 hours late with the turning, I will have to do it. Probably… god I am scared…

Anyway, I swallowed one of the painkillers he gave me to take regularly and am going to turn the damn medieval toruring machine in my mouth.

Wish me luck.

Update: After long hesitationg. I turned the screw. It did not hurt so much. Not the turning itself at least. I am drugged by Ibalgin 400mg and still feel pressure and a lot of pain where the bone is broken. Looks like what happened to me is not as common as my doctor said, but it is a rare minor(-ish?) complication. I suppose he tried to not scare me, since there is nothing he can do with it if I do not want to take the hyrax off, have the bone fixed and then undergo the surgery again. I found some articles about the pressure stressing of cranial base. They are a little difficult (at least for me, because English is not my native language), but give a lot of information that most doctors wont give you.

Stresses at the Cranial Base Induced by Rapid Maxillary Expansion

Complications during Mandibular Midline Distraction

I hope this helps anyone who would have to face any complication that he/she did not know about before.

As for now, I will just relax, drink some good tea, take my painkillers and be a good little soldier.

PS: Oh… and as an delightfull add to today’s misery, I just got my rejection letter from Disney. After month of preparations, writing my entry project that they liked, interviews and such, they choose someone else for the game designer job. Well, that’s life I suppose. 😦

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