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ReviewOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026

Comparative Meta-Analysis of Complications of Maxillomandibular Advancement for OSA versus Orthognathic Surgeries for Dentofacial Deformities.

Mohamed Faisal Kassir, Angelica Walker, Lauren A Howser … Mohamed Abdelwahab

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SurgeryReview

Maxillomandibular advancement is associated with significantly higher hardware removal rates.

Comparative Meta-Analysis of Complications of Maxillomandibular Advancement for OSA versus Orthognathic Surgeries for Dentofacial Deformities.

Mohamed Faisal Kassir … Mohamed Abdelwahab

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026

Background

Maxillomandibular advancement (maxillomandibular advancement) surgeries for obstructive sleep apnea (obstructive sleep apnea) and orthognathic surgeries for dentofacial deformities (dentofacial deformities) are both complex procedures with distinct indications.

Purpose

This meta-analysis and systematic review aimed to compare complications and recovery metrics between these surgeries.

Methods

Included studies focused on maxillomandibular advancement for obstructive sleep apnea or orthognathic surgeries for dentofacial deformities.

n = 1734

Results

21.99%

the higher percentage of maxillomandibular advancement patients needing surgical implants removed

n = 1734

More results

Maxillomandibular advancement demonstrated a surgical success rate of 79.6% and a cure rate of 39%.

Compared to bimaxillary surgery, maxillomandibular advancement was associated with longer operative time (343.87 vs 326.95 min; P = .021) and postoperative hospital stay (4.22 vs 3.25 days; P < .0001).

More results

Neurosensory disturbance was comparable between maxillomandibular advancement (40.44%) and bimaxillary surgeries (44.91%; P = .2189), but highest in single-jaw procedures (55.18%; P < .001).

Postoperative obstructive sleep apnea developed in 12.25% of bimaxillary cases for dentofacial deformities.

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Conclusion · 1 of 3

Our findings underscore the need for tailored preoperative counseling and risk stratification when selecting orthognathic surgical interventions.

Conclusion · 2 of 3

maxillomandibular advancement offers a high surgical success rate but is associated with longer operative time, increased hospital stay, and higher rates of infection and hardware removal compared to bimaxillary and single-jaw surgeries.

Conclusion · 3 of 3

These findings highlight the need to balance efficacy with complication risk when selecting surgical approaches for obstructive sleep apnea or dentofacial deformities.

Comparative Meta-Analysis of Complications of Maxillomandibular Advancement for OSA versus Orthognathic Surgeries for Dentofacial Deformities.

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