Episode
#83 – Dr. Joseph Yousefian – Facegenics, TMJ Risk with MSDO, and is MAPES Safe for Teeth?
- Podcast
- JawHacks
- Published
- May 5, 2025
- Duration seconds
- 7561
- Processing state
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Summary
Orthodontist and sleep medicine specialist Dr. Joseph Yousefian explains why Maxillomandibular Advancement (MMA) doesn't always resolve sleep apnea. Drawing on case studies and clinical experience, he highlights the procedure’s limitations and the importance of addressing nasal anatomy and TMJ health. Dr. Yousefian also introduces his patented expansion techniques—MANE, DAME, and MAPES—which have shown strong results in improving airway health. This conversation explores airway dynamics, skeletal development, and the value of a personalized, multi-faceted treatment approach. Dr. Yousefian's book: Pediatric Treatment of Sleep Apnea https://a.co/d/aNsKjul Hear from Dr. Yousefian's Patients https://youtube.com/shorts/EvOC51YXxRE https://youtu.be/fYMy1Acnlwk https://youtu.be/uyRm7fTOF2w JawHacks Official eBook https://substack.com/@jawhacks 1-on-1 Chat with Ron https://jawhacks.com/chats And More on the Website https://jawhacks.com/ Timestamps 00:00:00 - Intro & Airway Mechanics 00:01:10 - Why MMA Doesn’t Always Cure Sleep Apnea 00:03:40 - When MMA Surgery Isn't Enough (19.9 AHI Case Study) 00:05:35 - The Critical Role of Turbinate Reduction in Airway Health 00:07:03 - Empty Nose Syndrome Risks & Turbinate Management 00:08:24 - Why Significant Expansion (7-10mm) Outperforms Minimal Expansion 00:10:50 - Nasal Cavity Architecture: Height, Width & Airflow Dynamics 00:12:00 - When Counterclockwise Rotation Isn't Possible 00:14:20 - TMJ Complications After Surgery: Revision Challenges 00:15:25 - Challenges of MARPE After LeFort I Surgery 00:17:45 - Removing Plates for Successful Post-Surgical Expansion 00:19:34 - DOME Procedure (DANE): Preventing Unilateral Cheekbone Distraction 00:22:08 - MSDO to Expand Narrow Arch vs. Tongue Reduction Surgery 00:28:12…