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

The airway is, in essence, confined by the upper and lower jaw. By moving the upper and lower jaw forward (as in maxillomandibular advancement), the entire airway can be enlarged. This procedure serves as the most effective surgical treatment for OSA. It is performed in patients with moderate to severe OSA (either as the only treatment or when other procedures have failed) or in patients with significant jaw deformity that contributes to OSA. The duration of the procedure is approximately 4-5 hours and is performed under general anesthesia. While speech and swallowing are not affected, this procedure is associated with pain, swelling and occasional minor numbness of the lower lip. Some changes in facial appearance will occur with maxillomandibulr advancement, but is usually very acceptable. In general, jaws do not need to be wired after surgery. However, chewing is not allowed for 4 weeks. The majority of patients usually return to work in 4 weeks.

The hospitalization for maxillomandibular advancement is usually 2 days. This procedure is occasionally performed in conjunction with genioglossus advancement or nasal surgery.
 
  
(Pre - Op)
               
(Post - Op)