Maxillomandibular Advancement 

Maxillomandibular advancement may be recommended for patient’s with a narrowed airway secondary to the retruded position of their facial bones. This is a surgical procedure that repositions your upper and lower jaw and often times your chin to maximize your airway space. Studies have shown 98% of patients showing improvement in outcomes and their sleep apnea with this surgical treatment. This surgery has been refined over the many years that allows it to be a safe and efficient surgery. These surgeries are planned and simulated before surgery using a CT scan and digital scans of your teeth that make it precise and safe.

This surgery is completed in our state of the art office surgical center. All the incisions are made inside of your mouth leaving no scars on the outside of your face. We stabilize your upper and lower jaw bones using small low profile titanium plates and screws eliminating the need to be wired shut. Patient’s are instructed to be on a soft nonchew diet for 6 weeks after surgery while the bones heal. Patient’s are able to go home the day of surgery with the assistance and care of our nurses.

Zaghi S, Holty JC, Certal V, et al. Maxillomandibular Advancement for Treatment of Obstructive Sleep Apnea: A Meta-analysis. JAMA Otolaryngol Head Neck Surg. 2016;142(1):58–66. doi:10.1001/jamaoto.2015.2678 

Overview of Maxillomandibular Advancement

  • Consultation/examination

  • Sleep study (we help facilitate obtaining

  • Imaging (CBCT, Lateral Cephalometric, digital scans of teeth)

  • Final presurgical records (CBCT, digital oral scans, facial measurements) will be obtained 2 weeks prior to your surgery date

Preoperative:

  • Sleep with head elevated to help reduce swelling (two pillows so the head is above the heart)

  • No nose blowing for at least 14 days

  • Apply ice to cheeks to reduce swelling for 2-3 days

  • Pain control consists of Hydrocodone or oxycodone every 4-6 hours as needed

  • Pain medication is typically needed for one week

  • No strenuous exercise for 6 weeks but walking is encouraged starting post-surgery day 1

  • Soft nonchew diet for 6 weeks after surgery

  • Routine follow-up 1 week after surgery, 3 weeks, 6 weeks

  • Surgery is approximately 3-5 hrs under general anesthesia

  • Performed in our state of the art surgical center

  • Return home the same day accompanied by one of our nurses

Intraoperative:

Postoperative: