What is Maxillo-mandibular Advancement treatment?

by Dr Sanchaita Kohli Oral and Maxillofacial Surgeon

Maxillo-mandibular advancement (MMA) is a medical procedure for effectively treating obstructive sleep apnea surgery (OSA). In MMA, the upper and lower jawbones are repositioned to open the oral cavity's blocked airways. The procedure brings the attached soft palate and tongue forward, pulling them away from the back of the throat, opening the airway.

The pain experienced in maxillo-mandibular advancement surgery is less compared to other sensitive palatal procedures; for example, UPPP, and post-surgery, most patients can deal with the pain by taking non-narcotic analgesics. Control of tangible facial nerves during a medical procedure brings about paresthesia that blunts the agony reaction for the time being. Critically, since current inward bone obsession gadgets used with MMA don't need jaw wiring, patients can start eating soft food items right away. 

Changes in facial appearance generally rely upon preoperative life systems and the patient's weight. Studies show that 70% of patients judge that their facial appearance is improved after MMA; 20% to 25% report no appearance adjustment.

The recovery from the surgery can take over roughly a month and a half. Patients can also return to work or school after a period of three weeks. Postoperative polysomnography is normally performed at some point following three months when delicate tissue edema has settled.

As opposed to any remaining surgeries for OSA, there are impacts at all airway route levels, from the nasal cavity to the lower part of the throat called the gullet.

The regular assessment has been that MMA is performed for patients with mandibular retrognathia. Indeed, patients with ordinary rigid structures (that is, OSA regarding overabundance delicate tissue, including obesity) are regularly cautious contenders and have excellent outcomes likewise.

Another view is that MMA is a "rescue" careful alternative after other delicate tissue methods. Maxillo-mandibular Advancement surgery should be considered for any patient with moderate to severe obstructive sleep apnea for permanent relief.

What are the dangers of medical procedures for obstructive sleep apnea? 

While all medical procedures convey a few dangers, having OSA can increase risks of specific complexities, particularly sedation. Numerous sedation medicines loosen up your throat muscles, which makes it tough to rest during the procedure. 

Subsequently, you'll probably require additional help, such as endotracheal intubation, to help you breathe the surgery. Your primary care physician (PCP) may propose you stay hospitalized for a few days while you recuperate so that your breathing can be accessed.

Other potential dangers of the medical procedure include: 

  • excessive bleeding

  • Infection

  • Deep vein thrombosis

  • Additional breathing problems 

  • urinary retention 

  • unfavourably susceptible response to sedation

However, if performed by an experienced and qualified surgeon, there is low to no chances of any complications. Always consult a certified surgeon to undergo any oral or maxillofacial surgery.

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About Dr Sanchaita Kohli Advanced   Oral and Maxillofacial Surgeon

57 connections, 6 recommendations, 246 honor points.
Joined APSense since, January 9th, 2021, From Delhi, India.

Created on Jan 23rd 2021 01:42. Viewed 235 times.


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