TY - JOUR
T1 - Maxillomandibular Advancement
T2 - Contemporary Approach at Stanford
AU - Liu, Stanley Yung Chuan
AU - Awad, Michael
AU - Riley, Robert Wayne
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2019/3
Y1 - 2019/3
N2 - 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.
AB - 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.
KW - Counterclockwise rotation
KW - Facial skeletal surgery
KW - Lateral wall stabilization
KW - Maxillomandibular advancement
KW - Obstructive sleep apnea
UR - http://www.scopus.com/inward/record.url?scp=85060854473&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85060854473&partnerID=8YFLogxK
U2 - 10.1016/j.cxom.2018.11.011
DO - 10.1016/j.cxom.2018.11.011
M3 - Review article
C2 - 30717921
AN - SCOPUS:85060854473
SN - 1061-3315
VL - 27
SP - 29
EP - 36
JO - Atlas of the Oral and Maxillofacial Surgery Clinics of North America
JF - Atlas of the Oral and Maxillofacial Surgery Clinics of North America
IS - 1
ER -