Bimaxillary Osteotomy

I, the undersigned patient, hereby grant my informed consent for the medical procedure of bimaxillary osteotomy. I have been provided with detailed information regarding the procedure, its potential benefits, and associated risks. I understand that the procedure is not without potential complications or adverse outcomes, and I willingly accept these risks after careful consideration.

Procedure:

Bimaxillary osteotomy is a surgical procedure that involves repositioning the upper jaw (maxilla) and lower jaw (mandible) to correct skeletal abnormalities of the jaw structure. The procedure may be performed under general anesthesia and may involve the use of specialized instruments and fixation plates to secure the repositioned jaws.

Benefits:

1. Correcting Jaw Alignment: The primary benefit of a bimaxillary osteotomy is the correction of jaw misalignment, which can improve facial aesthetics, bite function, and overall oral health.

2. Enhanced Facial Harmony: By repositioning the jaws, the procedure aims to achieve better facial balance and harmony, improving the overall appearance of the face.

3. Improved Bite Function: Bimaxillary osteotomy can help correct bite problems, such as overbite, underbite, or crossbite, leading to improved chewing, speech, and overall oral function.

Risks and Complications:

1. Bleeding: There is a risk of bleeding during or after the procedure, which may require additional interventions to control or resolve.

2. Infection: Despite adherence to strict sterile techniques, there is a risk of developing an infection at the surgical site. This may necessitate further treatment, including antibiotic therapy or additional procedures.

3. Nerve Injury: The procedure involves manipulation of the jaws, which carries a risk of nerve injury. This can lead to temporary or permanent sensory changes, such as numbness or altered sensation in the lips, chin, or teeth.

4. Temporomandibular Joint (TMJ) Issues: In some cases, bimaxillary osteotomy can lead to TMJ-related problems, including pain, clicking, or restricted jaw movement.

5. Malocclusion: Despite careful planning and execution, there is a risk of developing malocclusion (misalignment of the teeth) after the procedure, which may require additional orthodontic treatment.

6. Swelling and Discomfort: Following the surgery, there will be swelling, bruising, and discomfort in the facial area. These symptoms are temporary and will gradually resolve with time.

7. Scarring: Incisions made during the surgery will result in visible scars, but efforts will be made to place them in inconspicuous locations.

I have had an opportunity to ask questions and have received satisfactory answers regarding the procedure, its benefits, risks, and potential complications. I understand that there may be unforeseen risks or circumstances that could arise during the procedure. I acknowledge that no guarantees have been made regarding the results or outcomes of the procedure.

I hereby voluntarily consent to undergo the procedure of bimaxillary osteotomy. I have read and understood the information provided, and I authorise the doctor and their designated medical staff to perform the procedure.

Patient's Signature: ________________________

Date: ________________________

Doctor's Signature: ________________________

Date: ________________________

**Please retain a copy of this consent form for your records.**