Question 16 - How about MMA Revisions?
Dear Dr. Li: I am strongly considering MMA surgery, but a some MMA surgeons do not want to do me because I had a lower jaw advancement with the lower front tooth segement moved back about 25 years ago and they say that would make the MMA surgery more complicated.
So I guess I need to find a surgeon well experienced in revisions. The way they did the surgery on me back then was different and I just have two wires in the back of my jaw. I would like to ask you 3 questions: !.How many revisions of past surgeries like mine have you done.
Additionally, I was told the counter clock wise rotation is more difficult and it is very important to get a MMA surgeon that has done a lot of them. 2.How many counter clock wise rotations have you done? 3.
Some MMA surgeon do not want to do MMA surgery on me because my upper and lower jaw are okay now and would not recommend to much advancement because it would really hurt my appearance. However, a very well respected sleep apnea ENT surgeon who was rated one of the best doctors in the united states and writes lots of articles about sleep apnea surgery, said if I have my tongue base cut off and maybe the bone behind my palate cut off I would not have to be moved as far for MMA surgery.
Would you agree with that....because the same movement should not be for everyone. Could you work with this nationally know doctor who has done a total airway exam on me and says my tongue blocks my airway so much that he has only seen two other patients where the airway was blocked by the tongue so much. Gratefully yours,