Radiofrequency
Nasal Surgery
Uvulopalatal Flap
Genioglossus
Advancement
Hyoid Advancement
Maxillomandibular
Advancement
Maxillomandibular
Expansion
Pre-Op Instructions
Post-Op Instructions
 
SLEEP APNEA SURGERY
Maxillomandibular Expansion

Patients with OSA often have narrowed jaws, thus constricting the intraoral volume. This results in displacement of the tongue towards the back of the throat and consequently airway obstruction. The upper and lower jaws can be widened to improve the airway. Since orthodontic treatment is required with maxillomandibular expansion, it is typically performed on children and young adults. This procedure is generally performed under general anesthesia. A limited bone cut is made on the jaws so as to simply weaken the jaws temporarily. An orthodontic device (distraction device) is placed onto the jaw at the time of the surgery, which incrementally distracts (expands) the jaw. The duration of the procedure is approximately 3 hours, but the distraction process takes about 2 weeks. The orthodontic treatment starts about 3 months after the operation in order to close the spaces created between the teeth. Speech and swallowing are not affected by this procedure. There is a very slight change in facial appearance, but this is often a favorable change. The majority of patients usually return to work in 2 weeks.

Overnight hospitalization is usually recommended after maxillomandibular expansion. In general, patients can usually return to work in 10-14 days.
 
  
Before Maxillary Expansion
 

After Maxillary Expansion

Before Mandibular Expansion
 
After Mandibular Expansion