Failed MMA Causing Sleep Apnea

Failed MMA Surgery caused significant complications and unsatisfactory outcomes following a failed maxillomandibular advancement (MMA) surgery. Sleep Apnea is a sleep disorder characterized by repeated pauses in breathing or shallow breaths during sleep. It can lead to fragmented and poor-quality sleep, resulting in daytime fatigue, excessive sleepiness, and difficulty concentrating.

Common Symptoms

Common symptoms of OSA include loud snoring, gasping or choking during sleep, morning headaches, irritability, daytime sleepiness, and difficulty concentrating. If left untreated, OSA can increase the risk of high blood pressure, heart disease, stroke, diabetes, obesity, and mental health issues. It can also lead to poor quality of life, impaired cognitive function, and an increased risk of accidents due to daytime sleepiness.

Procedure Performed

LeFort I Segmental Osteotomy. Bilateral Sagittal Split Osteotomy.

About This Patient

In 2008, the patient’s journey began with a diagnosis of sleep apnea and subsequent pain related to nerve issues, bite problems, and misaligned teeth. After undergoing a double jaw surgery that did not provide the desired improvement and instead worsened his condition, he sought a solution and found Dr. Movahed. The revisionist surgery performed by Dr. Movahed corrected the sleep apnea, restored jaw and bite alignment, and significantly improved his quality of life.
Play Video

In This Video

Jim was in a lot of pain, he was having problems with his bite and teeth not touching. He was also exhausted from not being able to sleep well, which led to poor mental health. Then he found Dr. Movahed online, after the surgery he had with him, he was finally able to get quality rest. Overall he has more energy and is able to eat and sleep comfortably. He goes into more detail about his experience in the video.



After 1st Surgery

After Revision Surgery

Before Airway​

Before Volume

After Airway

After Volume

Dr. Movahed’s Thoughts...

Play Video
In this video, Dr. Movahed discusses Jim’s complex case involving a maxillomandibular advancement surgery performed elsewhere, which resulted in relapse and neuropathic pain. The initial surgery’s relapse exacerbated Jim’s severe sleep apnea. Dr. Movahed highlights the challenges of addressing scar tissue and the high stakes in this revision surgery. With a multidisciplinary approach involving an orthodontist, pain management specialists, and neurologists, they successfully expanded and advanced Jim’s jaws to eliminate obstructive sleep apnea. While some neuropathic pain effects remained from the initial surgery, Jim’s improved sleep and overall condition have given him his life back.