Maxillomandibular advancement (MMA) is a known surgical option in the management of obstructive sleep apnea that results in a widening of the posterior airway by stretching the oropharyngeal soft tissues. While MMA has a high success rate of 85-95%, such large advancements can change facial esthetics. The present study aims to examine the rate of satisfaction with facial aesthetics after an intervention with MMA. A retrospective analysis of the records of patients who underwent MMA by the author was reviewed. The parameters assessed included age, medical history, preoperative apnea/hypopnea index (AHI), jaw skeletal classification, and satisfaction with facial aesthetics. All patients underwent MMA with an advancement of the maxilla ranging from 8-10mm with a counter-clockwise rotation to further expand the airway, the mandible following the maxilla while keeping the patient occlusion and a genioglossus advancement ranging from 8-10mm. Six patients’ records were reviewed. all patients were males and the average age was 42. All patients had severe obstructive sleep apnea with a mean AHI of 58.6. Four of the patients were satisfied with the change in their facial appearance postoperatively. The two class II patients were indifferent about the facial change and so no patient was dissatisfied with their facial appearance. The study supports the literature findings that MMA for OSA rarely negatively affects patients' perceptions of their facial appearance.
