CabinetMaxillo·Facial
After orthognathic or maxillofacial surgery, mouth opening drops sharply, then recovers over weeks. The practice tracks that recovery with numbers: millimetres, validated scores, and a one-page report your surgeon can actually use.
The literature describes an initial loss of 60 to 70% of maximal mouth opening after orthognathic surgery (Ko et al., 2015). Rehabilitation accompanies the recovery: the practice's usual pattern, adjusted to the surgeon's advice, starts around day 30 with about ten weekly sessions and four measurement points — opening in millimetres, deviation, lateral movements and protrusion, the four directions used in a 2025 randomised trial in the British Journal of Oral and Maxillofacial Surgery — plus OMES (Felício & Ferreira, 2008) and JFLS-8 (DC/TMD framework) scores.
Baseline at the first session, ideally before surgery. Weekly sessions combining manual therapy, guided mobilisation and a daily home programme. Four measurement points across the protocol produce an evolution curve — yours, not a population average.
The calendar always follows your surgical team's instructions.
Ideally before surgery: published recovery data are expressed as a percentage of pre-operative values.
Rehabilitation starts after initial healing, per your surgeon's instructions. About ten weekly sessions.
Opening, deviation, lateral movements, protrusion, plus OMES and JFLS-8 scores across the protocol.
A one-page summary with your curve and scores, to your surgeon with your consent.
A pre-operative assessment serves two purposes: it establishes your baseline in numbers, and it screens for dysfunctions — atypical swallowing, mouth breathing, low tongue posture — that the literature associates with relapse of the deformity if left uncorrected.
Patients typically arrive after surgery at Saint-Luc, Erasme, CHU Brugmann or the Chirec hospitals. A medical prescription is required and sessions are reimbursed under standard Belgian physiotherapy conditions.
The practice's usual pattern, always adjusted to your surgeon's instructions, starts around thirty days after surgery: about ten weekly sessions, with four measurement points across the protocol.
The literature describes an initial loss of 60 to 70% of maximal opening, recovering progressively over weeks to months. This is an expected part of recovery, not a complication.
Yes, with your consent: a one-page summary with initial and current measurements, evolution curve, OMES and JFLS-8 scores, readable in thirty seconds.
Ideally yes. A baseline measured before surgery lets your recovery be tracked against your own numbers rather than an average.