Bimaxillary surgery
Pre-operative assessment (nasal breathing, rest position, swallowing) + rehabilitation after orthognathic surgery of both jaws.
Characteristics
Bimaxillary (orthognathic) surgery repositions both jaws to correct skeletal discrepancies. The pre-operative assessment evaluates nasal breathing, resting tongue position, and swallowing. Post-operatively, physiotherapy provides lymphatic drainage, recovery of joint range, and correction of oro-facial dyspraxias.
- Post-operative intermaxillary fixation
- Significant facial edema
- Temporary sensory disturbances
- Adaptation to new facial pattern
Physiotherapy treatment
- Pre-op assessment: nasal breathing, rest position
- Joint range recovery
- Progressive active muscle work
- Oro-facial dyspraxia correction
Progress with treatment
Progress varies according to the condition and individual factors. Conservative options may be discussed after assessment, without a promised result or timeline.
Questions About TMJ Disorders
Characteristics
Pre-operative assessment (nasal breathing, rest position, swallowing) + rehabilitation after orthognathic surgery of both jaws.
Physiotherapy treatment
Pre-op assessment: nasal breathing, rest position Joint range recovery Progressive active muscle work Oro-facial dyspraxia correction
How many sessions are needed?
The number and spacing of visits depend on assessment, response and goals. No duration or result can be guaranteed.
Scientific sources
- Effectiveness of manual therapy for TMD (PubMed)
- TMJ and cervical spine connection (PMC)
- Therapeutic exercises for TMD (PubMed)
- Conservative approach to TMJ disorders (PubMed)
- Intra-oral techniques - systematic review
- Bruxism and physiotherapy (PubMed)
- Physiopedia practical guide - TMD
- HAS recommendations on TMD