This is a list of resources I reviewed when I was researching surgical options for curing my obstructive sleep apnea. I focused on those that addressed my particular problem of a retrognathic maxilla and underdeveloped jaws, causing a lack of sufficient tongue space and creating an airway obstruction behind my lower jaw during sleep.

If you prefer an alternative that avoids surgery, see Maxillary Expansion For Obstructive Sleep Apnea Resource Bookmarks instead.

obstructive sleep apnea surgery
I’d rather not.

Background

Surgical Options for the Treatment of Obstructive Sleep Apnea 

Surgery For Sleep Apnea – Sleep Apnea 

Surgical Therapy For Obstructive Sleep Apnea 

Obstructive Sleep Apnea (OSA) Treatment & Management: Approach Considerations, Nasal CPAP Therapy, BiPAP Therapy 

Why Orthotropics Suggests Not To Have Jaw Surgery By Dr Mike Mew – YouTube 

Adult Sleep Apnea Surgery – Sleep Apnea Surgery Center 

The Jaw Surgery Solution by Profilo 

Surgical Therapy for Obstructive Sleep Apnea Syndrome – PubMed 

Bilateral Internal Ramus Distraction (BIRD)

A one-arm surgical trial of obstructive sleep apnea (OSA) patients before and 12 months after Bilateral Internal Ramus Distraction of the mandible (BIRD)

Distraction Osteogenesis Maxillary Expansion (DOME)

Distraction Osteogenesis Maxillary Expansion (DOME) at Stanford Medicine

Distraction Osteogenesis Maxillary Expansion (DOME) for adult obstructive sleep apnea patients with narrow maxilla and nasal floor – ScienceDirect 

Distraction Osteogenesis Maxillary Expansion (DOME) for Adult Obstructive Sleep Apnea Patients with High Arched Palate. Pubmed 

Distraction osteogenesis as a treatment of obstructive sleep apnea syndrome 

Maxillary expansion with transpalatal distraction. I stage-LF I and midline osteotomy – YouTube 

Anyone has experience with DOME (Distraction Osteogenesis Maxillary Expansion)? : SleepApnea 

Endoscopically-Assisted Surgical Expansion (EASE)

Endoscopically-assisted surgical expansion (EASE) for the treatment of obstructive sleep apnea. PDF. 

EASE – Sleep Apnea Surgery Center 

Kasey Li: Maxillary expansion using endoscopic-assisted-surgical expansion – World Sleep 2019

Maxillary Expansion with Dr. Kasey Li | Not All Are Created Equal | EASE

Intermolar Mandibular Distraction Osteogenesis (IMDO)

Dr Paul Coceancig’s technique to expand and advance a small lower jaw by growing it forwards with surgically implanted distractors, which moves the tongue out of the airway.

What is IMDO™ » Profilo° Surgical 

How IMDO & GenioPaully was developed. jaw surgery redesigned

6Ways To Design A Face by Paul Coceancig chapters 8-10

U.S patent 9,113,958 & Australian patent 2012202977: Distractor device and a method for distracting a jaw bone.

Mandibular Symphyseal Distraction Osteogenesis (MSDO)

Consideration of Maxillary Skeletal Expansion (MSE) and Mandibular Symphyseal Distraction Osteogenesis (MSDO) for the Treatment of Sleep Apnea and Snoring

Mandibular Distraction Osteogenesis for the Treatment of an Obstructive Sleep Apnea Patient with Orthognathic Anomaly: A Case Report and Literature Review

Maxillomandibular Advancement (MMA)

See: Maxillomandibular Advancement (MMA) Surgery For Obstructive Sleep Apnea Resource Bookmarks

Maxillomandibular Expansion (MME)

Maxillomandibular expansion for the treatment of sleep-disordered breathing: preliminary result. – PubMed – NCBI 

Maxillomandibular Expansion for the Treatment of Sleep?Disordered Breathing: Preliminary Result – Guilleminault – 2004 – The Laryngoscope – Wiley Online Library 

Minimally Invasive Nasal Endoscopic Maxillary Expansion (MINE)

A Minimally Invasive Nasal Endoscopic Approach to Distraction Osteogenesis Maxillary Expansion to Restore Nasal Breathing for Adults with Narrow Maxilla

Surgically Assisted Rapid Palatal/Maxillary Expansion (SARPE/SARME)

Surgical Maxillary Expansion for OSA Adults with Nasal Obstruction | Request PDF 

A CLOSER LOOK AT STABILITY OF SURGICALLY-ASSISTED RAPID PALATAL EXPANSION 

Effects of surgically assisted rapid maxillary expansion on obstructive sleep apnea and daytime sleepiness

Submucosal Minimally Invasive Lingual Excision (SMILE)

Evaluation of submucosal minimally invasive lingual excision technique for treatment of obstructive sleep apnea/hypopnea syndrome. – PubMed – NCBI 

Surgically Facillitated Orthodontic Therapy (SFOT)

Surgically Facilitated Orthodontic Therapy (SFOT): Maximizing case outcome | Perio-Implant Advisory 

Uvulopalatopharyngoplasty (UPPP)

Sleep Surgery – Sydney Centre for Ear, Nose & Throat 

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Graham Stoney

I'm a guy in his early 50's, recovering from Chronic Fatigue Syndrome and Severe Obstructive Sleep Apnea.

1 Comment

John · January 11, 2022 at 11:35 AM

Thanks for the links. But I don’t believe any of these surgical procedures are currently publicly available (other than a Lefort 3, which is prohibitively traumatic) . In Jan 2020 I flew 3000 miles to meet with a Dentist in Los Angeles that marketed the DOME procedure on her website. Turns out she was just recruiting people for a study being done by a Doctor at Stanford, and I was not a good candidate for the study because of age and the fact that I have an implant, things I could have been told over the phone. Hopefully a moderate surgical solution will become publicly available before I die of asphyxiation

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