Maxillomandibular Advancement

This procedure is designed to open additional airway behind the back of the tongue. It is usually performed if previous procedures have not completely improved the obstructive breathing episodes and/or the patient has persistent symptoms of daytime sleepiness and fatigue.

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