Can maxilomandibular surgery work for sleep apnea?

I am 46 yr old, probably around 2 stone over weight and have obstructive sleep apnoae, i cant stand wearing the cpac mask and most nights end up taking it off, i am desperate for surgery,

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
overnight.

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.

John Frattellone, DMD
Red Bank Dentist

Surgery

this surgery is a fantastic solution for people who can't stand wearing things or have the mask on their face. You have the surgery done and it's over with. Patoents start feeling better few days after surgery. 

Majid Jamali, DMD
New York Oral & Maxillofacial Surgeon
5.0 out of 5 stars 14 reviews

Bi-Max Surgery definitely works, but simpler solution available

While bimaxillary surgery does effectively treat sleep apnea, you should first consider having an oral appliance made by a qualified dentist with lots of experience in sleep apnea. The surgery is very extensive with a long recovery period, and it also changes your profile and facial appearance. A well-made oral appliance is non-surgical and very comfortable to wear, totally hidden within your mouth.

Maxillomandibular Surgery for Obstructive Sleep Apnea (OSA)

In a word yes, maxillomandibular advancement is just about 100% effective for the permanent treatment of OSA. The diagnosis is critical however, and you should (if you haven't already) have a sleep study to confirm that your sleep apnea is obstructive in nature and not central. Central sleep apnea isn't treated by surgery.

John W. Graham, DDS, MD
Salt Lake City Orthodontist
5.0 out of 5 stars 1 review

BiMaxillary advancement can cure sleep apnea.

I would suggest being evaluated for an oral appliance prior to doing surgery.  They are considered a first line treatment for mild to moderate sleep apnea and an alternative to CPAP for severe apnea in patients who do not tolerate CPAP.

Clinical case studies have also shown cures with the DNA Appliance. 

Learn more about CPAP Alternatives at IHateCPAP.com

Ira L Shapra DDS, D,ABDSM, D,AAPM, FICCMO
ThinkBetterLife.com

Sleep apnea options

Obstructive sleep apnea has 4 different treatment options--1 CPAP which is the pressurized mask or nasal pillows that use air pressure to keep the airway from collapsing--2 repositioning oral appliances that move your lower jaw forward at a more open position that often help to open up the collapsing area by bringing the back of the tongue and throat forward as well to open the constriction 3--Jaw surgery to reposition the upper and lower jaws to open up the airway behind the tongue permanently 4-- other surgeries that either increase the airway by clearing out the palate or sides where the tonsils are or tongue reduction and reshaping surgeries.
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

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.