Breathe Better Sleep Better Live Better Podcast 5 Surprising Facts About Maxillo-Mandibular Surgery Revealed
Nov 30, 2021
Dr. Kasey Li, a triple board-certified expert in maxillomandibular advancement surgery, delves into the surprising truths of sleep apnea treatments. He reveals critical insights about the importance of patient selection and the complexities of surgery. The conversation highlights the necessity of a multi-specialty approach and managing expectations. Dr. Li also discusses risks such as nerve damage and compares success rates across different demographics, emphasizing the unique challenges faced by pediatric patients with sleep apnea.
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Limit Unnecessary Preoperative Tests
- Keep pre-op testing simple: history, scope exam, sleep study, and dental x-rays are usually sufficient.
- Avoid expensive imaging or sleep endoscopy if results won't change the treatment plan.
Thorough Preop Counseling Is Essential
- Counsel patients that MMA is major surgery with a multi-week recovery, liquid diet, and several weeks off work.
- Emphasize realistic pain expectations and variable recovery times by age and individual tolerance.
Advancement Amount Balances Airway And Aesthetics
- Typical jaw advancement ranges 10–20 mm and balances airway gain against facial aesthetic change.
- Surgeons can use techniques to maximize airway while minimizing unattractive facial shifts.
