Loss of sensation after jaw surgery can affect how you speak, chew, smile, and connect with others. At AQ Surgery in West Palm Beach, board-certified oral and maxillofacial surgeon Dr. Anastasiya Quimby, MD, DDS, combines head and neck oncology, microvascular reconstruction, and facial nerve expertise to restore function, sensation, and confidence. With meticulous planning and collaborative care, Dr. Quimby focuses on helping patients recover both physically and emotionally. Learn how nerve reconstruction can promote lasting recovery and an improved quality of life.
Why Nerves Are Affected After Jaw Surgery
Jaw surgery for tumors, trauma, or osteoradionecrosis often occurs near the delicate sensory and motor branches of the trigeminal and facial nerves. Even with precision techniques, these structures can be stretched, compressed, or severed, leading to numbness, tingling, pain, or weakness. Prompt evaluation is essential, as the treatment strategy depends on the type and extent of injury. Early intervention often improves long-term outcomes, though late reconstruction can still restore meaningful function.
Is Nerve Reconstruction Right for You?
Patients may be candidates for nerve reconstruction if they experience any of the following after surgery or injury:
- Persistent numbness or tingling in the lip, chin, tongue, or cheek that does not improve over time
- Difficulty smiling symmetrically, moving the lower lip, or controlling the tongue during speech or eating
- Neuropathic pain that interferes with daily activities or sleep
- Loss of protective sensation that increases the risk of accidental biting or burns
Advanced Options for Repair
Dr. Quimby develops each treatment plan after detailed imaging, nerve testing, and examination. Common surgical techniques include:
- Nerve grafting: A segment of donor nerve bridges a gap in a severed nerve to guide regrowth toward its target. This approach is used when direct repair without tension is not possible.
- Nerve transfer: A nearby healthy nerve is redirected to reinnervate an essential function, accelerating return of movement or sensation when the original pathway cannot be restored.
- End-to-end or end-to-side neurorrhaphy: Directly suturing nerve ends together, or connecting a damaged nerve to the side of an intact neighbor, creates a pathway for axonal regrowth.
- Microvascular reconstruction: When reconstruction involves bone or soft tissue flaps, precise restoration of blood supply supports nerve survival, healing, and integration.
- Neuromodulation: Targeted electrical stimulation can help reduce chronic nerve pain and support recovery of movement and sensation.
- Regenerative therapies: Platelet-rich fibrin and fat-derived biologic scaffolds enhance the healing environment as part of a comprehensive recovery plan.
Each technique is selected based on the nerve’s condition, the patient’s goals, and the overall reconstructive plan.
What Recovery Looks Like
Nerve regeneration occurs gradually, progressing about one millimeter per day from the repair site toward its target. Many patients begin to notice early improvement within weeks, with continued recovery over several months. Rehabilitation may include physical or speech therapy, desensitization exercises, and home care strategies to protect areas with reduced sensation. Regular follow-up ensures that healing remains on course and any issues are addressed promptly.
Take the First Step Toward Restored Sensation
If you’re experiencing numbness, pain, or weakness after jaw surgery, specialized care can make a profound difference. Schedule a consultation with Dr. Quimby at AQ Surgery in West Palm Beach to discuss your personalized plan. Our multidisciplinary team combines advanced diagnostics, evidence-based reconstruction, and comprehensive rehabilitation to restore sensation and movement, helping you return to the activities and connections that matter most.
