Adjuncts to MMA | Genial Tubercles, Septoplasty, and Segmental LeFort

In this episode, Dr. Bobek and Dr. Wasson start with a brief clarification on the transmucosal pterygomaxillary disjunction technique from last week, then move into a discussion on what they actually add to a standard MMA beyond the double jaw surgery itself. Topics covered in this episode: Transmucosal pterygomaxillary disjunction: a quick visual clarification with imaging Nasal work during MMA: septoplasty, turbinate management, bone grafting at the piriform aperture, and where each host has landed on how much to do The difference between nasal work done during a LeFort vs. a formal standalone septoplasty Chin surgery and genial tubercle advancement: when to add it, how far forward is too far, and sequencing Carrying the tubercles with the chin as a single piece vs. separating them as two segments Troubleshooting tubercle fixation when things do not go as planned intraoperatively Tonsils and tongue reduction at the time of MMA: why both hosts avoid combining these Segmental LeFort as an airway adjunct independent of occlusal indications Mandibular widening with midline osteotomy combined with MMA How patient goals and surgical planning conversations shape the final treatment algorithm 📬 Questions or topic suggestions: [email protected] The Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests.