Maxillomandibular Advancement: Contemporary Approach at Stanford

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

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

9 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 languageEnglish (US)
Pages (from-to)29-36
Number of pages8
JournalAtlas of the Oral and Maxillofacial Surgery Clinics of North America
Volume27
Issue number1
DOIs
StatePublished - Mar 2019
Externally publishedYes

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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