Gregory N. Chotkowski, DMD

★★★★☆
  • 30 East 60th Street Suite 608

    New York, NY 10022

    Map & Directions
  • 917-751-6622

About Gregory N. Chotkowski, DMD

Categories
  • Oral Surgeons

Health & Medical

Health & Medical
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4.0 1
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June 2012 I underwent an operation for a sliding genioplasty at Mt. Sinai Hospital. My surgeon was Dr. Gregory Chotkowski, Chief of Oral Maxillofacial Surgery.

The operation took about an hour and a half to complete as an outpatient. Cost for the whole procedure including operating theater, anesthesiologist, nurse, etc. came in under $10,000 (as of June 2012). I have been happy with the results. I have also been happy with the care Dr. Chotkowski provided and would recommend him if you are thinking of having this particular operation.

However a few caveats. Any operation has potential problems no matter how simple the procedure. In my case, I had a problem after the operation was over when I was in Recovery waiting to wake up. My vocal cords snapped shut and cut off my air supply. This isn??t an unusual occurrence. The staff just has to re-intubate you and everything is fine.

My case was different. When the anesthesiologist removed the tubing that had been inserted through my nose (the operation is performed in your mouth so the tubing has to go through your sinus passages) there was damage to my sinuses which led to undetected bleeding. The bleeding is what was the catalyst to cause my vocal cords to shut. As stated above, the staff moved to re-intubate me but were unable to do so because my throat had filled with blood and they couldn??t see where to insert the tube. You don??t just jab a tube through the vocal cords, you would end up damaging them and causing even more problems.

Without the ability to properly insert the tube my situation went from a being a setback to waking up to a life threatening crisis as the minutes ticked by. I went from ??how is he alive?? to ??why isn??t he dead.?? What saved me was my heart didn??t react to the stress created by the cut off to my air supply. It kept beating at 70 beats per minute through the whole episode. Most patients?? hearts would have begun to beat faster and eventually start fibrillating, which would then start a cascade of other organs failing till death occurred. The slower heartbeat gave the medical team extra time to find a way to get the tube through my vocal cords without damage. I ended up on a ventilator for three days and, once awake, was in the hospital for three more days getting back my strength.

I wrote about my experience not to scare you away from the procedure or using Dr. Chotkowski. He had nothing to do with what happened in the Recovery Room. There??s a separate medical staff that looks after patients in that area. I wrote this so that you are aware that surgical procedures do have dangers and when contemplating doing an elective surgery that you make sure you educate yourself about the procedure and potential problems. Also be pro-active with your surgeon. Ask questions?not just will I look good but what are the downsides, what can go wrong. Also remember, you will not wake up looking like a movie star, you will wake up looking like yourself with a cosmetic correction to something you felt was a fault with your body or face. Realistic expectations can go a long way to ensuring your satisfaction with the end result. So?wish you the best and please, do consult with Dr. Chotkowski. He has my highest recommendation.

4
★★★★☆

June 2012 I underwent an operation for a sliding genioplasty at Mt. Sinai Hospital. My surgeon was Dr. Gregory Chotkowski, Chief of Oral Maxillofacial Surgery.

The operation took about an hour and a half to complete as an outpatient. Cost for the whole procedure including operating theater, anesthesiologist, nurse, etc. came in under $10,000 (as of June 2012). I have been happy with the results. I have also been happy with the care Dr. Chotkowski provided and would recommend him if you are thinking of having this particular operation.

However a few caveats. Any operation has potential problems no matter how simple the procedure. In my case, I had a problem after the operation was over when I was in Recovery waiting to wake up. My vocal cords snapped shut and cut off my air supply. This isn??t an unusual occurrence. The staff just has to re-intubate you and everything is fine.

My case was different. When the anesthesiologist removed the tubing that had been inserted through my nose (the operation is performed in your mouth so the tubing has to go through your sinus passages) there was damage to my sinuses which led to undetected bleeding. The bleeding is what was the catalyst to cause my vocal cords to shut. As stated above, the staff moved to re-intubate me but were unable to do so because my throat had filled with blood and they couldn??t see where to insert the tube. You don??t just jab a tube through the vocal cords, you would end up damaging them and causing even more problems.

Without the ability to properly insert the tube my situation went from a being a setback to waking up to a life threatening crisis as the minutes ticked by. I went from ??how is he alive?? to ??why isn??t he dead.?? What saved me was my heart didn??t react to the stress created by the cut off to my air supply. It kept beating at 70 beats per minute through the whole episode. Most patients?? hearts would have begun to beat faster and eventually start fibrillating, which would then start a cascade of other organs failing till death occurred. The slower heartbeat gave the medical team extra time to find a way to get the tube through my vocal cords without damage. I ended up on a ventilator for three days and, once awake, was in the hospital for three more days getting back my strength.

I wrote about my experience not to scare you away from the procedure or using Dr. Chotkowski. He had nothing to do with what happened in the Recovery Room. There??s a separate medical staff that looks after patients in that area. I wrote this so that you are aware that surgical procedures do have dangers and when contemplating doing an elective surgery that you make sure you educate yourself about the procedure and potential problems. Also be pro-active with your surgeon. Ask questions?not just will I look good but what are the downsides, what can go wrong. Also remember, you will not wake up looking like a movie star, you will wake up looking like yourself with a cosmetic correction to something you felt was a fault with your body or face. Realistic expectations can go a long way to ensuring your satisfaction with the end result. So?wish you the best and please, do consult with Dr. Chotkowski. He has my highest recommendation.

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