[Llamamoe]

While genetic/heritable factors play a role, the evidence is overwhelming that the main cause is weak jaw muscles and improper resting posture during childhood, due to soft diets and allergies.

I'd also like to add that even in absence of sleep apnea, Upper Airway Resistance Syndrome, where the airway collapses but the body partially wakes up before it progresses into an apnea, is likely, and often missed by diagnostics.

In general, maxillomandibular advancement is always more effective than genioglossus advancement during genio.

[Nesco]

Thanks for the precision! Bimax indeed best practice but performing BSSO comes with significant risk of nerve damages.

In my (light) case for example two independant surgeons advised me against as the risk outweighed the potential benefice

[Llamamoe]

The risk scales with BSSO distance, surgeon expertise(both quality of work, and especially how long the operation takes).

I wish more research was conducted into improving nerve healing using administration of stuff like Cerebrolysin, other neurotrophic, or cellular stress therapy - e.g. in fat transplantation, pre-op suction promotes vascularization and local growth factor release, dramatically improving fat graft survival rates, in skin/hair, microneedling works wonders through local growth factor release. Could we do the same to the nerves?