About The Center
Audio and Video
Overview of Sleep Apnea Surgery
Patient Experiences
Surgical Solutions For Adults
Surgical Solutions For Children
  Surgical Philosophy for Children
  Turbinate Reduction
  Maxillomandibular Expansion
  Maxillomandibular Advancement
  Pre-Surgical Instructions
  Post-Surgical Instructions
Research Publications
Contact Us

Maxillomandibular Expansion

Many children have obstructive sleep apnea due to the size and shape of their jaws.   Commonly, children with obstructive sleep apnea have small and narrowed upper and lower jaws. Maxillomandibular expansion is often performed in children with obvious jaw deformity or when there is residual obstructive sleep apnea after adenoidectomy and tonsillectomy have been performed.

The upper and lower jaws can be expanded by orthodontic treatment, usually without need of surgery. The goal of the treatment is to widen the upper and lower jaws with an orthodontic appliance. This can be performed in children as young as 5 years old.  Occasionally, limited surgery to facilitate expansion may be required in teenagers when a significant degree of jaw maturation has already occurred.

Before Surgery  
Before Maxillary Expansion
  After Surgery
After Maxillary Expansion
Before Surgery
Before Mandibular Expansion
  After Surgery
After Mandibular Expansion



Guilleminault C, Li KK.  Maxillomandibular Expansion by Distraction Osteogenesis for the Treatment of Sleep-Disordered Breathing: Preliminary Results.  Laryngoscope; 114:893-896, 2004.

Li KK.  Surgical Therapy for Obstructive Sleep Apnea Syndrome.  Seminars in Respiratory and Critical Care Medicine; 26:80-88, 2005.


About the Center | Overview of Sleep Apnea Surgery | Patient Experiences | Surgical Solutions for Adults | Surgical Solutions for Children
Research Publications | FAQ | Contact Us | Privacy Policy | Home