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Maxillomandibular Rotational Advancement: Airway, Aesthetics, and Angle's Considerations
Clement Cheng-Hui Lin1, Po-Fang Wang1, Shaun Ray Han Loh2
1Department of Plastic and Reconstructive Surgery, Craniofacial Center, Chang Gung Memorial Hospital, No. 5, Fuxing Road, Guishan District, Taoyuan 333, Taiwan; Craniofacial Research Center, Chang Gung Memorial Hospital, No. 5, Fuxing Road, Guishan District, Taoyuan 333, Taiwan; School of Medicine, Chang Gung University, 259 Wenhua 1st Road, Guishan District, Taoyuan 333, Taiwan.
Abstract:
Obstructive sleep apnea is a medical syndrome with multifactorial pathophysiology. Surgery can be the primary treatment option when anatomic factors are identified with narrowing at specific or general levels of pharyngeal airway. The surgeries are directed to the etiologic anatomic structure to achieve greatest effectiveness. Body weight, Mallampati scale, and tonsil grade are key evaluations to select effective surgical procedures. Surgical weight reduction, maxillomandibular advancement, and pharyngeal soft tissue surgeries are considered for the patient with obesity, maxillomandibular retrognathism, and tonsillar hypertrophy, respectively. Tailored surgical planning can meet the patients needs for airway, esthetics, and normal Angle's occlusion.