I Need to Go Abroad for Maxillofacial Surgery for Sleep Apnea. Where Should I Go?

I have been successfully treated for Central and Obstructive Sleep Apneas with CPAP titration. I now want maxillofacial surgery. My pulmonary MD says that I am an excellent candidate. I would love to be able to get off of my ResMed machine with corrective jaw surgery. I have two very recent sleep studies, a recent EKG, a recent MRI, and labs and consults. Which countries and which doctors should I consider? I can't afford to get this done in the USA.

Doctor Answers 4

OSA/Jaw surgery

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In general, I do not recommend having this type of surgery overseas. You have to be seen on weekly basis for the first 2 months by your surgeon. If there is an infection or complication, its always better to be nearby or at least in a same country. There are many good OMS in the country that can do this procures.

New York Oral & Maxillofacial Surgeon
4.8 out of 5 stars 19 reviews

Oral and Maxillofacial Surgeon

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The first step in treatment resides in recognition of the symptoms and seeking appropriate consultation. Oral and maxillofacial surgeons offer consultation and treatment options.In addition to a detailed history, the doctors will assess the anatomic relationships in the maxillofacial region. With cephalometic (skull x-ray) analysis, the doctors can ascertain the level of obstruction. Sometimes a naso-pharyngeal exam is done with a flexible fiber-optic camera. To confirm the amount of cardiovascular compromise and decreased oxygenation levels, a sleep study may be recommended to monitor an individual overnight.

John Frattellone, DMD
Red Bank Dentist

Maxillomandibular Surgery for obstructive sleep apnea

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Maxillomandibular advancement for the treatment of obstructive sleep apnea is the most effective operation for reducing the apnea hypopnea index and improving cognition associated with OSA. It is likely a covered benefit based on your insurance plan. MMA requires skillful hands and large movements. I would only consider a surgeon who specializes in OSA surgery. 

Jose E. Barrera, MD, FACS
San Antonio Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

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Sleep Apne

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Orthognathic surgery to correct OSA is typically something that is covered by most medical insurances. It sounds that you have all of the appropriate studies to show that this is a procedure that is medically necessary. If you have medical insurance you should ask them if you have coverage for this type of procedure. Good luck -Dr M

Manolis Manolakakis, DMD, FACS
Shrewsbury Oral & Maxillofacial Surgeon
5.0 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.