Introduction The fundamental principle of maxillomandibular advancement (MMA) is to move the muscular attachments of the hard palate, tongue, and suprahyoid soft tissue in an anterior direction by advancement of the tooth-bearing segments of the maxilla and mandible. This maneuver…
Introduction Obstructive sleep apnea (OSA) is a state-dependent phenomenon in which the pharyngolarynx undergoes repetitive collapse. Retropalatal obstruction is often the primary site of sleep-disordered breathing. Traditional uvulopalatopharyngoplasty (UPPP) as described by Fujita has important potential limitations, including nonphysiologic modification,…
Introduction Obstructive sleep apnea (OSA) is a state-dependent phenomenon in which the pharyngolarynx undergoes repetitive obstruction. For the otolaryngologist, the ability to phenotype the specific site(s), anatomic structures, and patterns involved in the upper airway obstruction appears crucial to successful…