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] 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.