Can maxilomandibular surgery work for sleep apnea?
Doctor Answers 8
Orthognathic surgery vs. other treatments for sleep apnea
Orthognathic surgery is the best and most definitive way to resolve obstructive sleep apnea. However, you need to be sure you are a good candidate because the surgery is somewhat involved. However, it has higher success than any of the soft tissue surgeries (i.e. UPPP), and is better than CPAP (for compliance reasons).You will need to get an orthodontist who can do a proper work up and surgical plan, and they will likely evaluate your bite and facial proportion. Most have a good oral surgeon or plastic surgeon who performs orthognathics and can complete the treatment plan after they have set up your dentition properly.
MMA surgery is very successful for OSA
Jaw surgeries are very successful for sleep apnea treatment, but oral appliance therapy is a method that should be considered first. All surgery is "involved" and less invasive options should be ruled out first. If CPAP isn't for you, oral appliances should be the next step. I have treated cases very successfully with oral appliances, even SEVERE cases, and with 120 different designs, there is likely one that would work for you.
Maxilomandibular Surgery for Sleep Apnea
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 relatinships in the maxillofacial region. With
cephalometic (skull x-ray) analysis, the doctors 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
In more complex cases, the bones of the upper
and lower jaw may be repositioned to increase the size of the airway
(orthographic surgery). This procedure is done in the hospital under general
anesthesia and requires a one to two day overnight stay in the hospital.
OSA is a very serious condition that needs
careful attention and treatment. Most major medical plans offer coverage for
diagnosis and treatment.
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Ira L Shapra DDS, D,ABDSM, D,AAPM, FICCMO
Sleep apnea options
There is no way to predict 100% success with any of these treatments. Most patients progress through non surgical options first but some will try surgery sooner.
Your sleep physician or ENT or qualified dentist can help you look at your options. Good luck