Recent Advances in Orthognathic Surgery Video discussing malocclusion and sleep apnea surgery.

Dr. Jose Barrera, MD, discusses Recent Advances in Orthognathic (Maxillofacial) Surgery. A recent article by Dr. Danny Jandali, MD, and Dr. Jose E. Barrera, MD reviews the recent literature on orthognathic surgery for treatment of malocclusion and obstructive sleep apnea. The discussion outlines the refinements of the procedure and advances in technology.
Recent findings:
Maxillomandibular advancement (MMA) or double jaw surgery may be performed for complex malocclusion as well as obstructive sleep apnea (OSA). While orthodontic management followed by MMA has been the gold standard in managing complex cases, the surgery first approach for treatment of malocclusion has increased in popularity due to decreased treatment time and improved patient quality of life. MMA continues to be the gold-standard for treatment of refractory sleep apnea. Technological advancements, including 3D printing and virtual surgical planning, have enhanced the patient experience and provided more efficiency to this surgery.
Summary:
First introduced in the 19th century, orthognathic surgery has continuously been refined. Over the last few decades, there has been increasing support for a surgery first approach in the treatment of malocclusion. Maxillomandibular advancement has revolutionized the surgical treatment of obstructive sleep apnea and provides the best opportunity for success or cure in patients with complex obstructive patterns. Technology has enhanced the surgical process and created more efficiency for the surgeon and patient.
Dr. Jose E. Barrera, MD San Antonio Facial Plastic Surgeon and ENT.