Sleep Apnea Surgical Solutions
Maxillomandibular advancement (MMA) is a surgical procedure that moves the upper and lower jaws forward to enlarge the airway — the most effective long-term surgical treatment for obstructive sleep apnea in CPAP-intolerant patients.
A Surgical Solution for Better Sleep
When CPAP isn't working, surgery can provide lasting relief
Obstructive Sleep Apnea (OSA) occurs when the airway repeatedly collapses during sleep, causing breathing to stop and start throughout the night. This leads to poor sleep quality, daytime fatigue, and serious health risks including heart disease, stroke, and diabetes.
While CPAP (continuous positive airway pressure) machines are the standard first-line treatment, many patients cannot tolerate them long-term. Surgical treatment offers a permanent solution by enlarging the airway so it doesn't collapse during sleep.
The most effective surgical procedure is maxillomandibular advancement (MMA), which repositions both the upper and lower jaws forward. This permanently enlarges the airway space and has a success rate exceeding 90% - far higher than any other sleep apnea surgery.
Dr. Antipov's extensive training in complex jaw surgery makes him uniquely qualified to perform these life-changing procedures. He works closely with sleep physicians to ensure optimal outcomes for every patient.
“After years of CPAP intolerance, patients often tell me the first night of natural sleep after MMA surgery is what changes their life. Surgery is not first-line, but for the right patient it is transformative.”
Dr. Alexander Antipov, DDS
Board-Certified Oral & Maxillofacial Surgeon
Life-Changing Benefits
Addressing a serious health condition while improving quality of life
Permanent OSA solution
One surgery vs. nightly CPAP for life
Freedom from CPAP
Sleep without masks, hoses, or air pressure
Better oxygen, deeper sleep
Restful REM cycles and morning clarity
Lowers cardiovascular risk
Reduces heart disease, stroke, and diabetes risk
More daytime energy
End daytime sleepiness and brain fog
Improved facial profile
Side benefit of repositioning the jaws forward
Specialized Expertise
Sleep apnea surgery requires advanced skills in orthognathic surgery and airway management. Dr. Antipov's fellowship training and years of experience ensure you receive the highest level of surgical care.
Collaborative Approach
We work closely with your sleep physician, primary care doctor, and other specialists to ensure comprehensive care. This team approach optimizes surgical outcomes and long-term health.
Surgical Treatment Options
Customized procedures based on your anatomy and severity of sleep apnea
Maxillomandibular Advancement (MMA)
Most effective surgical treatment - advances both jaws forward to permanently enlarge the airway. Success rate >90% for resolving OSA.
Genioglossus Advancement
Advances the tongue attachment point to prevent it from falling back and blocking the airway during sleep.
Hyoid Suspension
Repositions the hyoid bone (throat bone) to increase airway space and prevent collapse during sleep.
Combination Procedures
Multiple procedures performed together for maximum airway expansion in severe sleep apnea cases.
Your Treatment Journey
From evaluation to resolution of sleep apnea
Comprehensive Sleep Evaluation
1-2 hoursReview sleep study results, CPAP compliance history, and medical records. We perform 3D imaging and airway analysis to identify obstruction points. Coordinate with your sleep physician for optimal treatment planning.
Treatment Planning
2-3 weeksUsing 3D CT scans, we measure your airway and simulate surgical outcomes. We determine which procedure(s) will best resolve your sleep apnea - options include jaw advancement, airway expansion, or combination approaches.
Pre-Surgical Preparation
VariesMedical clearance from your physician. If jaw advancement (MMA) is planned, orthodontic preparation may be needed. We arrange hospital admission and anesthesia. Detailed pre-operative instructions provided.
Surgical Procedure
2-4 hoursPerformed under general anesthesia in a hospital. For maxillomandibular advancement (MMA), both jaws are moved forward to permanently enlarge the airway. Surgery typically takes 2-4 hours. Most patients stay 1-2 nights in the hospital.
Recovery & Follow-Up
6-8 weeks healingInitial swelling subsides in 2-3 weeks. Soft diet for 6-8 weeks. Most patients return to work in 2-3 weeks. Follow-up sleep study at 3-6 months confirms resolution of sleep apnea. Regular monitoring with sleep physician.
Frequently Asked Questions
Ready to Address Sleep Apnea Surgically?
MMA (maxillomandibular advancement) and other surgical sleep apnea options are performed at Galleria.
Free 3D CT Scan · No Obligation · Flexible Financing · Roseville, CA