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Maxillomandibular Advancement - Maxillomandibular headway (MMA) or orthognathic medical procedure, likewise once in a while called bimaxillary progression (Bi-Max), or maxillomandibular osteotomy (MMO), is a surgery or rest a medical procedure which moves the upper jaw (maxilla) and the lower jaw (mandible) forward. The strategy was first used to address deformations of the facial skeleton to incorporate malocclusion. In the last part of the 1970s progression of the lower jaw (mandibular headway) was noted to further develop drowsiness in three patients. Accordingly, maxillomandibular progression was utilized for patients with obstructive rest apnea.Right now, maxillomandibular headway medical procedure is frequently performed all the while with genioglossus progression (tongue progression). The genioglossus progression pulls the tongue forward in a way that diminishes how much tongue blockage during rest. MMA has been shown to be one of the best careful medicines for rest apnea, because of its high achievement rate. Regardless, the method is many times utilized after different types of treatment have fizzled (nasal medical procedures, tonsillectomy, uvulopalatopharyngoplasty, tongue decrease medical procedures). There is a more drawn out recuperation when contrasted with other rest apnea medical procedures, since the bones of the face need to mend into their new position.