Maxillomandibular Advancement: Contemporary Approach at Stanford

Stanley Yung Chuan Liu; Michael Awad; Robert Wayne Riley

doi:10.1016/j.cxom.2018.11.011

Maxillomandibular Advancement: Contemporary Approach at Stanford

Stanley Yung Chuan Liu^*, Michael Awad, Robert Wayne Riley

^*Corresponding author for this work

Otolaryngology

Research output: Contribution to journal › Review article › peer-review

46 Scopus citations

Abstract

Maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) has remained a reliable and highly effective surgical intervention since its introduction in 1989. Modifications have been made to maximize skeletal movement and upper airway stability without compromising facial balance. Contemporary indications of recommending MMA prior to other soft tissue surgery are described. MMA poses unique challenges to surgeons. There are patient-related factors, including OSA, a chronic inflammatory condition with associated cardiovascular and metabolic comorbidity. Perioperative management is more complex than routine orthognathic patients. Key details are shared from a 3-decade experience at Stanford.

Original language	English (US)
Pages (from-to)	29-36
Number of pages	8
Journal	Atlas of the Oral and Maxillofacial Surgery Clinics of North America
Volume	27
Issue number	1
DOIs	https://doi.org/10.1016/j.cxom.2018.11.011
State	Published - Mar 2019

Keywords

Counterclockwise rotation
Facial skeletal surgery
Lateral wall stabilization
Maxillomandibular advancement
Obstructive sleep apnea

ASJC Scopus subject areas

Surgery
Oral Surgery

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10.1016/j.cxom.2018.11.011

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title = "Maxillomandibular Advancement: Contemporary Approach at Stanford",

abstract = "Maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) has remained a reliable and highly effective surgical intervention since its introduction in 1989. Modifications have been made to maximize skeletal movement and upper airway stability without compromising facial balance. Contemporary indications of recommending MMA prior to other soft tissue surgery are described. MMA poses unique challenges to surgeons. There are patient-related factors, including OSA, a chronic inflammatory condition with associated cardiovascular and metabolic comorbidity. Perioperative management is more complex than routine orthognathic patients. Key details are shared from a 3-decade experience at Stanford.",

keywords = "Counterclockwise rotation, Facial skeletal surgery, Lateral wall stabilization, Maxillomandibular advancement, Obstructive sleep apnea",

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Maxillomandibular Advancement: Contemporary Approach at Stanford

Abstract

Keywords

ASJC Scopus subject areas

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