# #92 – Dr. Jeremy Manuele – FME Leads to Eye Problem in Young Male Patient

Page: https://stenobird.com/podcast/jawhacks-7095416/92-dr-jeremy-manuele-fme-leads-to-eye-problem-in-young-male-patient
Text version: https://stenobird.com/podcast/jawhacks-7095416/92-dr-jeremy-manuele-fme-leads-to-eye-problem-in-young-male-patient.md
Podcast: [JawHacks](https://stenobird.com/podcast/jawhacks-7095416)
Published: 2025-11-10T11:00:00+00:00
Episode link: http://jawhacks.local/episode/92-jeremy-manuele
Audio file: https://episodes.captivate.fm/episode/7aec25a5-6fb7-45dc-a1d1-a6605bfa7bae.mp3
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JSON: https://stenobird.com/v1/public/podcasts/jawhacks-7095416/episodes/92-dr-jeremy-manuele-fme-leads-to-eye-problem-in-young-male-patient
Duration seconds: 10637

## Resource

In this episode, Dr. Jeremy Manuele breaks down the quality of adult maxillary expansion beyond just "did it split?" We compare FME, custom MARPE, and MSE Type 2, explore surgical assists, preview FME Pro, and analyze a rare complication case.  Dr. Manuele did not disclose the actual number of FME cases he has performed, but he has been working with adult non-surgical skeletal expansion and other TAD-anchored appliances since 2016, and in that time he’s helped many hundreds of patients. In this podcast, Dr. Manuele delivers unique, never-before-seen visual demonstrations showing key differences between FME, Custom MARPE, and MSE, which are 3 top skeletal expander brands. Essential viewing for anyone considering adult palatal expansion or airway treatment. 1:1 Coaching with Ron — Now Inside The Joint https://jawhacks.com/coaching JawHacks Newsletter (Substack) https://substack.com/@jawhacks And More on the Website https://jawhacks.com/ Pre-order Dr. Manuele's book https://amzn.to/4oQXY4e Connect with Dr. Manuele ‪https://www.youtube.com/@vegasorthodoc https://www.instagram.com/hm_ortho https://www.facebook.com/hamiltonortho/ https://vegasorthodoc.com  TImestamps 00:00:00 - Introduction: How Different Expanders Work 00:02:08 - The Three Types of Expansion Explained 00:03:16 - Why Dental Expansion Is Dangerous for Adults 00:05:46 - Why Airway Cross-Sections Can Mislead You 00:08:41 - Case Study: 3D Superimposition Reveals Only Dental Tipping 00:10:30 - Dento-Alveolar Expansion: The Middle Ground 00:12:16 - Fast vs. Slow Turning: How to Shock the Suture into Splitting 00:16:24 - Age Ranges for Tooth-Borne Expander Success (and Why They Fail in Adults) 00:19:24 - Case Study: When Dento-Alveolar Expansion Goes Wrong 00:23:40 - Bonded RPEs: Using 360° Grip for Bette…

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