Double Jaw Surgery Relapse 2

Condition

Failed Double Jaw Surgery

A maxillomandibular advancement (MMA) surgery, which does not include a counter clockwise rotation, can, in some cases, lead to degenerative jaw joints over time. In this case, the absence of appropriate counter clockwise rotation in the initial surgery caused a relapse which lead to his palate narrowing and his jaws receding leading to a “weak profile”.

Common Symptoms

When the jaw position relapses, the palate can narrow and the jaws can recede, resulting in a less defined facial structure and a “weak profile.” This can affect overall appearance. The narrowing of the palate may cause a reduced width of the smile. Additionally, the airway can become narrower, obstructing proper airflow during breathing. As a result, breathing difficulties, including snoring, frequent awakenings, and daytime fatigue, can occur, especially during sleep. Over time, Obstructive Sleep Apnea (OSA) can develop.

Procedure Performed

Lefort 1 Segmental Osteotomy. Bilateral Sagittal Split Osteotomy.

About This Patient

This patient’s journey began with a double jaw surgery, performed 30 years prior, which did not include a counter clockwise rotation. Over time, he experienced a relapse of both jaws, leading to narrowing of the palate and receding jaws, resulting in a “weak profile.” The narrowing of the palate affected the width of his smile. Additionally, his airway became narrower, causing sleep and breathing issues.