Post-Op Instructions for

Facial Fracture Repair

neck pain

1. Neck Pain:expect some mild pain and neck stiffness after surgery. Use the prescribed pain medicine, which may be changed to Tylenol as pain subsides (usually 7-10 days).


2. Diet: expect difficulty chewing and pain with chewing. A soft diet is recommended initially, typically for the first 2 weeks. This may be extended, depending on the degree of injury.


3. Don't Take: Aspirin, aspirin containing products, ibuprofen (Motrin, Advil, etc), naproxen (Alleve) or blood thinning medications for at least two weeks following surgery.

water pitcher

4. Good Hydration:is key to avoiding excessive pain, fever and malaise.



salt shaker

5. Salt Water: rinsing or gargling can be helpful and comforting. This can be done 3-4 times daily or more (1 teaspoon salt in 1 quart of warm tap water).


6. Fever:Call for fever in excess of 102 degrees that does not respond to Tylenol. The main reason for fever after surgery is failure to clear secretions from the lungs due to inactivity.

heavy lifting

7.  Strenuous Activities: should be avoided for the first 48 hours.

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8. Blowing the Nose: Do not blow the nose forcefully for two weeks.



tissue box

9. Expect: some nasal discharge and some very bad breath.



10. Tooth Brushing:routinely should be continued with care, but avoid use of mouthwashes with alcohol.



11. Do Not Smoke:or be exposed to second hand smoke for 2 weeks. Smoke is highly irritating to healing tissue.



12. Sleep:Keep the head elevated while reclining and sleeping for 24-48 hours.



13. School:Children will typically miss 7-14 days of school. They should not resume gym class for 2 weeks.


medicine bottle

14. Nausea:nausea medication may be used 30-45 minutes prior to pain medicine to avoid the nausea side effect that some patients experience with narcotics.


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15. Bleeding:Call the doctor immediately for bleeding or signs of bleeding. All of the Advanced ENT & Allergy surgeons are experts in this type of surgery and we are on call 24/7/365!