Maxillomandibular Advancement

This procedure is often done when previous procedures have not completely improved breathing and/or a patient has persistent fatigue and daytime sleepiness. It is designed to open additional airway behind the back of the tongue.

The operation moves the bone of the upper and lower jaw forward as a unit. Hence, very little change in facial appearance is seen.

Riley R, Powell N, Guilleminault C, Nino-Murcia G: Maxillary, mandibular and hyoid advancement: An alternative to tracheostomy in obstructive sleep apnea syndrome. Otolaryngol Head and Neck Surg 1986;94:584-588

For a detailed treatment rationale, indications and outcomes, continue to MANAGEMENT OF SLEEP-DISORDERED BREATHING