Reviewed By Dr. Jeffery Kesecker, DDS
Reading Time: 4 minutes
Sleep apnea disrupts breathing during sleep, leading to daytime fatigue and serious health risks.
For individuals with severe obstructive sleep apnea, maxillomandibular advancement (MMA) surgery offers a proven, effective treatment option.
This blog will explain sleep apnea, common treatments, and how MMA surgery can provide relief.
Table of Contents
Key Takeaway
MMA helps with sleep apnea by moving the upper and lower jaws forward, opening the airway to stop breathing interruptions during sleep.
Understanding Sleep Apnea and Its Effects
Sleep apnea is a common disorder that interrupts breathing during sleep. It often leads to sleep fragmentation, daytime sleepiness, and other health issues.
Types of Sleep Apnea
- Obstructive sleep apnea (OSA): Blocked airflow due to soft tissue collapse in the airway during sleep.
- Central sleep apnea: The brain does not send proper signals to muscles controlling breathing.
- Complex or mixed apnea: A combination of both OSA and central sleep apnea. Severe obstructive sleep apnea is the most dangerous form, associated with cardiovascular problems, high blood pressure, and reduced oxygen levels.
Treatment Options for Sleep Apnea
Many individuals manage mild or moderate OSA with positive airway pressure therapy, such as CPAP machines. For others, oral appliances like a mandibular advancement device may help.
However, for those with severe or moderate-to-severe OSA who do not respond to these treatments, surgical interventions may be required.
Surgical Solutions for Sleep Apnea
- Maxillomandibular advancement (MMA) surgery: Advances the upper and lower jaw bones to increase airway space.
- Nasal septoplasty: Corrects nasal congestion by straightening the nasal septum.
- Hyoid suspension: Repositions the hyoid bone to reduce airway collapse.
- Upper airway stimulation: Stimulates airway muscles to prevent obstruction.
Why MMA Surgery Is Effective for Sleep Apnea
Maxillomandibular advancement surgery is one of the most effective surgical procedures for treating obstructive sleep apnea syndrome.
This procedure, also known as double jaw surgery, moves the upper (maxilla) and lower (mandible) jaw bones forward to expand the airway.
MMA surgery is effective because it:
- Enlarges the space in the upper airway to prevent airway collapse.
- Improves airflow and reduces the apnea-hypopnea index (AHI).
Steps of MMA Surgery
When performed at Legacy Oral Surgery, the procedure generally follows these steps. However, every case is unique, and your treatment plan may vary based on your individual needs and goals:
- Pre-surgical evaluation: This includes a cephalometric X-ray, a specialized X-ray capturing a side view of the head, teeth, jaw, and facial structures.
- Surgery: The procedure is performed under general anesthesia. It typically involves:
- A mandibular osteotomy (cutting and repositioning the lower jaw).
- A sagittal split osteotomy (splitting the lower jawbone to allow movement).
Preparing for MMA Surgery
Before surgery, your oral surgeon will perform a physical examination and review your medical history.
Additional procedures, like nasal decongestant therapy or nasal septoplasty, may be necessary to ensure optimal results.
Post-surgery, patients can expect:
- Bone healing over several weeks after surgery.
- Possible temporary effects on sensory nerves, such as the alveolar nerve.
- Gradual return to normal function with proper care and monitoring.
To help you prepare for oral surgery, read: What To Do on the Day of Oral Surgery and How Do I Prepare For Oral Surgery?
Is MMA Surgery Right for You?
If you are an adult patient suffering from moderate-to-severe OSA, MMA surgery might be the most effective treatment.
It is particularly helpful for those with mandibular deficiencies or issues like lateral wall collapse that contribute to airway blockage.
FAQs About MMA Surgery and Sleep Apnea
Can sleep apnea be cured?
While there is no universal cure, maxillomandibular advancement surgery is a highly effective treatment for severe obstructive sleep apnea.
How Long Does It Take to Heal From MMA Surgery?
Initial healing from MMA surgery typically takes about 6 to 8 weeks, during which the bone begins to mend and swelling subsides.
Full recovery and complete bone healing can take up to 6 to 12 months. The timeline may vary depending on factors such as your overall health, adherence to post-operative instructions, and the complexity of the procedure.
Your surgeon will provide a detailed recovery plan and schedule regular follow-ups to monitor your progress and address any concerns.
What Are the Risks of MMA Surgery?
Risks include infection, nerve damage (temporary or permanent numbness), bleeding, swelling, and rare complications like jaw misalignment or blood clots. Your surgeon will minimize risks with careful planning and post-operative care.
Take the Next Step Toward Better Sleep and Health
If obstructive sleep apnea is impacting your quality of life, MMA surgery could be the solution you need for lasting relief.
At Legacy Oral Surgery, Dr. Jeffery Kesecker combines years of specialized training with advanced surgical techniques to provide personalized care tailored to your needs.
Don’t let sleep apnea hold you back—take the first step toward a healthier, more restful future.
To book a consultation at our Harrisonburg location, call (540) 437-1230 or visit us at 2071 Pro Pointe Lane, Harrisonburg, VA. To book at our Staunton location, call (540) 213-8750 or visit us at 110 Mactanly Pl C, Staunton, VA.