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Maxillomandibular advancement

Maxillomandibular advancement is a science topic covered in the lgStudy science library. This page brings together a partial reference excerpt, illustrations, worked examples, real-world applications and a short study plan, so you can understand Maxillomandibular advancement rather than just read about it. In short: Maxillomandibular advancement (MMA) or orthognathic surgery, also sometimes called bimaxillary advancement (Bi-Max), or maxillomandibular osteotomy (MMO), is a surgical procedure or sleep surgery which moves the upper jaw (maxilla) and the lower jaw (mandible) forward. The procedure was first used to correct deformities of the facial skeleton to include malocclusion.

Maxillomandibular advancement — main illustration
Maxillomandibular advancement — illustration

Key takeaways

  • Maxillomandibular advancement belongs to science; place it in that map before memorising details.
  • Learn the definition first, then one example that makes the definition concrete.
  • Connect Maxillomandibular advancement to a quantity you can measure, compute or draw — that is where exam questions come from.
  • Reproduce the core statement of Maxillomandibular advancement from memory before moving on to harder problems.

Reference excerpt

Maxillomandibular advancement (MMA) or orthognathic surgery, also sometimes called bimaxillary advancement (Bi-Max), or maxillomandibular osteotomy (MMO), is a surgical procedure or sleep surgery which moves the upper jaw (maxilla) and the lower jaw (mandible) forward. The procedure was first used to correct deformities of the facial skeleton to include malocclusion. In the late 1970s advancement of the lower jaw (mandibular advancement) was noted to improve sleepiness in three patients. Subsequently, maxillomandibular advancement was used for patients with obstructive sleep apnea. Currently, maxillomandibular advancement surgery is often performed simultaneously with genioglossus advancement (tongue advancement). The genioglossus advancement pulls the tongue forward in a manner that decreases the amount of tongue blockage during sleep. MMA has been demonstrated to be one of the most effective surgical treatments for sleep apnea, due to its high success rate. Nonetheless, the procedure is often used after other forms of treatment have failed (nasal surgeries, tonsillectomy, uvulopalatopharyngoplasty, tongue reduction surgeries). There is a longer recovery when compared to other sleep apnea surgeries, since the bones of the face have to heal into their new position.

See also Le Fort I osteotomy

Further reading

Arrick, Roger (September 21, 2008). "Roger's MMA Sleep Apnea Surgery at Stanford Blog". Roger Arrick Project Repository. Bakalar, Nicholas (19 October 2015). "Sleep Apnea May Have Added Dangers for Women". Well Blog. New York Times. Li, Kasey. "Maxilomandibular advancement". Sleep Apnea Surgery Center. Archived from the original on 2019-03-12. Powell, Nelson (2005). "Upper Airway Surgery Does Have a Major Role in the Treatment of Obstructive Sleep Apnea 'The Tail End of the Dog'". Journal of Clinical Sleep Medicine. 1 (3): 236–40. doi:10.5664/jcsm.26336. PMID 17566182. Archived from the original on 2017-02-02. Retrieved 2013-06-23. Prinsell, Jeffrey R. (1999). "Maxillomandibular Advancement Surgery in a Site-Specific Treatment Approach for Obstructive Sleep Apnea in 50 Consecutive Patients". Chest. 116 (6): 1519–29. doi:10.1378/chest.116.6.1519. PMID 10593771. "Does Sleep Apnea increase the Risk of Heart Attacks by 30%". Best Anti Snoring Devices. 15 December 2015. Archived from the original on 22 December 2015. Retrieved 23 January 2016.

Illustrations

Maxillomandibular advancement illustration

Worked examples

Example 1 — a first encounter with Maxillomandibular advancement

Start with the simplest possible case. Write down what Maxillomandibular advancement claims or describes in one sentence, then invent the smallest concrete situation in which that sentence is true. In science, the smallest case is usually a single object, a single equation or a single measurement. Check that every symbol or term in your sentence has a meaning in that case.

Example 2 — changing one variable

Take the situation from Example 1 and change exactly one quantity: double it, halve it, or set it to zero. Predict what should happen to Maxillomandibular advancement before you calculate. Comparing your prediction with the result is the fastest way to find out whether you understand the idea or only the words.

Example 3 — an exam-style question

Typical questions about Maxillomandibular advancement ask you to (a) state it precisely, (b) apply it to given data, and (c) explain a limitation. Practise writing all three answers in under five minutes; the third part is what separates a full-mark answer from an average one.

Applications of Maxillomandibular advancement

In research
Maxillomandibular advancement appears in science research whenever the underlying quantities have to be modelled precisely. Papers usually cite it as a starting assumption and then explore where it breaks down.
In technology and industry
Engineering practice reuses Maxillomandibular advancement in design rules, simulations and safety margins. Knowing the idea lets you read a specification sheet and understand why the numbers look the way they do.
In the classroom
Maxillomandibular advancement is common in secondary-school and first-year university syllabi. It links to neighbouring topics Jaw surgery, Oral and maxillofacial surgery, Oral surgery, so understanding it makes those chapters shorter.
In everyday life
Look for Maxillomandibular advancement outside the textbook — in sport, cooking, traffic, electronics or the sky above you. An example you found yourself is remembered far longer than one you were given.

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How to study Maxillomandibular advancement in 20 minutes

  1. Read the reference excerpt below once, without taking notes.
  2. Close the page and write down what Maxillomandibular advancement means in your own words.
  3. Compare your version with the excerpt and mark what you missed.
  4. Work through the three examples above with pen and paper.
  5. Explain Maxillomandibular advancement out loud to somebody else — or to Teacher Smith in the lgStudy chat.

Frequently asked questions

What is Maxillomandibular advancement in simple terms?

Maxillomandibular advancement (MMA) or orthognathic surgery, also sometimes called bimaxillary advancement (Bi-Max), or maxillomandibular osteotomy (MMO), is a surgical procedure or sleep surgery which moves the upper jaw (maxilla) and the lower jaw (mandible) forward. The procedure was first used…

Why does Maxillomandibular advancement matter?

Because it connects several science ideas at once: it gives you a definition you can apply, a quantity you can calculate, and a way to check whether a result is plausible.

How should I study Maxillomandibular advancement?

Read the excerpt, restate it from memory, then work through the examples and applications listed on this page. The five-step study plan above takes about twenty minutes.

What does this page cover?

It gives you a compact reference excerpt plus original lgStudy explanations, examples, applications and study material on Maxillomandibular advancement.

Tags

  • Jaw surgery
  • Oral and maxillofacial surgery
  • Oral surgery
  • Sleep surgery
  • Surgery stubs

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