There are medical and surgical treatments for the management of the obstructive sleep apnea patients.

The gold standard of the medical treatments is the use of the positive pressure therapy (CPAP). The goal of the surgical reconstruction of the upper airway is to reduce collapsibility and optimize stability of the airway.

The maxillomandibular advancement osteotomy is a technique which efficacy has been demonstrated, and today is the gold standard of the surgical treatments. It is the only surgery that creates more space for the tongue in the oral cavity.

This surgical technique combines the Lefort I osteotomy, the mandibular sagittal split osteotomy and in some cases a genioglossus advancement.

A universally accepted protocol for reconstruction of the upper airway does not exist.

In this lecture, our protocol of treatment, indications, advantages, disadvantages, indications and results will be presented.