Primary and Secondary Telegnathic Maxillomandibular Advancement, With or Without Adjunctive Procedures, for Obstructive Sleep Apnea in Adults: A Literature Review and Treatment Recommendations

Primary and secondary MMA are highly therapeutic, and extrapharyngeal are more therapeutic than intrapharyngeal procedures when performed concomitantly with primary MMA. However, long-term success of obstructive sleep apnea treatment should be measured by a yet undefined comprehensive algorithm of standardized multiple weighted outcome parameters.