Maxillomandibular Advancement: Contemporary Approach at Stanford.

Counterclockwise rotation Facial skeletal surgery Lateral wall stabilization Maxillomandibular advancement Obstructive sleep apnea

Journal

Atlas of the oral and maxillofacial surgery clinics of North America
ISSN: 1558-4275
Titre abrégé: Atlas Oral Maxillofac Surg Clin North Am
Pays: United States
ID NLM: 9312707

Informations de publication

Date de publication:
Mar 2019
Historique:
entrez: 6 2 2019
pubmed: 6 2 2019
medline: 22 6 2019
Statut: ppublish

Résumé

Maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) has remained a reliable and highly effective surgical intervention since its introduction in 1989. Modifications have been made to maximize skeletal movement and upper airway stability without compromising facial balance. Contemporary indications of recommending MMA prior to other soft tissue surgery are described. MMA poses unique challenges to surgeons. There are patient-related factors, including OSA, a chronic inflammatory condition with associated cardiovascular and metabolic comorbidity. Perioperative management is more complex than routine orthognathic patients. Key details are shared from a 3-decade experience at Stanford.

Identifiants

pubmed: 30717921
pii: S1061-3315(18)30206-3
doi: 10.1016/j.cxom.2018.11.011
pii:
doi:

Types de publication

Journal Article Review Video-Audio Media

Langues

eng

Pagination

29-36

Informations de copyright

Copyright © 2018 Elsevier Inc. All rights reserved.

Auteurs

Stanley Yung-Chuan Liu (SY)

Division of Sleep Surgery, Department of Otolaryngology, Stanford Sleep Surgery Fellowship, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94304, USA. Electronic address: ycliu@stanford.edu.

Michael Awad (M)

Division of Sleep Surgery, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford Hospital and Clinics, 801 Welch Road, Stanford, CA 95304, USA.

Robert Wayne Riley (RW)

Division of Sleep Surgery, Department of Otolaryngology, Stanford Sleep Surgery Fellowship, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94304, USA.

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Classifications MeSH