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Recent advances in orthognathic surgery.

Danny Jandali1, Jose E Barrera1,2,3

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Summary

Orthognathic surgery, including maxillomandibular advancement (MMA), effectively treats malocclusion and obstructive sleep apnea (OSA). Technological advancements enhance surgical efficiency and patient outcomes.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Sleep Medicine

Background:

  • Orthognathic surgery has evolved significantly since its inception.
  • Malocclusion and obstructive sleep apnea (OSA) are common conditions requiring advanced treatment.
  • Maxillomandibular advancement (MMA) is a key surgical intervention for these conditions.

Purpose of the Study:

  • To review recent literature on orthognathic surgery for malocclusion and OSA.
  • To highlight procedural refinements and technological advancements in orthognathic surgery.
  • To discuss the evolving role of the 'surgery first' approach.

Main Methods:

  • Literature review of recent studies on orthognathic surgery.
  • Analysis of outcomes for malocclusion and OSA treatment.
  • Examination of technological integration in surgical planning and execution.

Main Results:

  • Maxillomandibular advancement (MMA) is effective for complex malocclusion and OSA.
  • The 'surgery first' approach is gaining popularity for malocclusion due to reduced treatment time and improved quality of life.
  • MMA remains the gold standard for refractory OSA, with technology enhancing patient experience and surgical efficiency.

Conclusions:

  • Orthognathic surgery, particularly MMA, has been refined over time.
  • The 'surgery first' approach is increasingly supported for malocclusion treatment.
  • Technological advancements have improved the efficiency and outcomes of orthognathic surgery for OSA and malocclusion.