The big dates
9 May 2011: Tumour first diagnosed.
30 May 2011: First biopsy, Westmead Hospital (public). Surgeon was Dr S. Tumour diagnosed as ameloblastoma.
18 June 2011: Second biopsy, Macquarie University Hospital (private). Surgeon was Dr P, together with Dr W and Dr K. Ameloblastoma very likely not cancerous.
1 August 2011: Mandibulectomy, fibulectomy and mandibular reconstruction (12 hours), Macquarie University Hospital, Lead surgeons were Dr P (tumour) and Dr A (plastics), together with Dr H, Dr W, Dr S and Dr K. Ameloblastoma removed and not cancerous.
23 September 2011: Removal of arch bars, Macquarie University Hospital (private). Surgeons were Dr P and Dr W.
13 January 2012: Removal of titanium plate, Macquarie University Hospital (private).
Phase 1: Inital diagnosis (May to June 2011)
25 March 2011: Sore tooth in left posterior of jaw.
8 April 2011: Spoke to my dentist about sore tooth at my 6 monthly checkup. Advised to ensure flossing all the way to back.
6 May 2011: Felt unusual lump inside my mouth in the cheek and gum area.
7 May 2011: Consulted doctor who prescribed antibiotics for dental abscess.
9 May 2011: Consulted dentist and sent for dental x-ray (pano or OPG). Referred to my first oral & maxillofacial surgeon, Dr S, for consultation that afternoon. Tumour identified in my lower jaw bone (left mandible), most likely an odontogenic keratocystic tumour (OKCT). First CT scan.
24 May 2011: Pre-op appointment for biopsy. Tumour now more likely a unicystic ameloblastoma.
30 May 2011: First biopsy by Dr S and Dr D at Westmead Hospital.
31 May 2011: Started this blog.
6 June 2011: Tumour diagnosed as ameloblastoma, the worst case scenario canvassed with my original surgeon. Pathology report did not indicate malignancy (cancer).
10 June 2011: Referred to a second oral & maxillofacial surgeon, Dr P, who has greater expertise in this type of tumour.
Phase 2: Surgery preparation (June to July 2011)
11 June 2011: First consultation with my new oral & maxillofacial surgeon, Dr P.
14 June 2011: MRI and CT scans.
16 June 2011: MRI scan showed the tumour had features ‘atypical’ of a benign ameloblastoma. Second biopsy arranged urgently to examine the expansion of the tumour outside the cortex into the soft tissue.
18 June 2011: Second biopsy, this time by Dr P at Macquarie University Hospital.
28 June 2011: Pathology report from second biopsy indicated tumour had features ‘unusual’ in a ‘straightforward benign ameloblastoma’, but not ‘frank malignant’ features.
1 & 6 July 2011: Doppler ultrasounds (venous and arterial) on my legs.
8 July 2011: Consultation with my speech pathologist, Dr C.
18 JULY: Pre-op consultation with plastic & reconstructive surgeon (Dr A).
25 JULY: Pre-admission clinic. Pre-admission chest x-ray and blood tests.
26 JULY: Consultation with physician (Dr L). Another MRI and another OPG (dental x-ray).
29 JULY: Pre-op consultation with oral & maxillofacial surgeon (Dr P).
Phase 3: Hospital (August 2011)
31 July 2011: Admission to Macquarie University Hospital for surgery.
1 August 2011: Mandibulectomy, fibulectomy and mandibular reconstruction surgery (what I refer to as my surgery).
1-5 August 2011: Recovery in intensive care unit.
5-10 August 2011: Recovery in ward 4.
Phase 4: Recovery (August 2011 – eternity, I hope)
10 August 2011: Discharge – home sweet home.
13 August 2011: First post-op checkup with Dr P.
15 August 2011: First post-op checkup with Dr A. Wound maintenance with nurse D (not Darren!). First post-op CT scan and OPG.
19 August 2011: Second post-op checkup with Dr P.
22 August 2011: Wound maintenance with nurse D.
27 August 2011: Third post-op checkup with Dr P.
29 August 2011: Second post-op checkup with Dr A. Wound maintenance with nurse D.
3 September 2011: Fourth post-op checkup with Dr P.
7 September 2011: Speech pathology session.
10 September 2011: Fifth post-op checkup with Dr P.
10 SEPT: 5th checkup Dr P.
12 SEPT: 3rd checkup Dr A. One crutch.
19 SEPT: Physio, speech therapy. Due to come off crutches.
23 SEPT: Braces (arch bars) removed – day surgery under general anaesthetic.
27 SEPT: Physio.
29 SEPT: Speech therapy
30 SEPT: Physio
4 OCT: Physio
7 OCT: Physio
11 OCT: Physio
14 OCT: Physio
18 OCT: Physio
21 OCT: Physio
24 OCT: Speech therapy
25 OCT: Physio
28 OCT: Physio
31 OCT: Physio.
4 NOV: Physio.
7 NOV: Plastic surgeon.
9 NOV: Physio.
7 NOV: Reconstructive surgeon.
9 NOV: Physio.
18 NOV: Physio.
27 NOV: Physio.
2 DEC: Physio.
9 DEC: Oral surgeon.
10 DEC: Physio.
16 DEC: Cone beam CT scan.
16 DEC: Physio.
17 DEC: Oral surgeon.
12 JAN: Admitted to hospital.
13 JAN: Surgery to remove titanium plate from jaw (2 hours). A few days in hospital.
21 JAN: Oral surgeon.
11 FEB: Oral surgeon.
13 FEB: Plastic surgeon.