Oral and Maxillofacial Surgeon Los Angeles Medical Center Los Angeles, California
Surgical advancement of the maxilla can produce significant improvement in airway volume. However, there is still hesitation among many surgeons to advance the maxilla to a degree that is large enough to make a significant change due to esthetic limitations or long-term stability factors. Surgeons at the speaker’s institution perform over 300 maxillary-mandibular advancements a year and have learned some pearls and pitfalls regarding anticipating a large (over 10 to 15 mm) advancement in the maxilla.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Identify OSA patients who benefit functionally from a maximum advancement.
Describe ways to minimize unwanted esthetic changes from maxillary advancement.
List surgical techniques which can help achieve the maximum planned advancement in the operating room and apply techniques that will result in long-term stabilization of the advancement.
Describe how to avoid complications associated with large maxillary movements.
