Still exhausted 6 weeks post op revision MMA, advice?
Hi guys, so brief history: had a tiny airway, was advanced 3mm upper 7mm lower two years ago - that didn’t do anything. Then had FME - expanded from 33 to 40 IMW and can now breathe comfortably through my nose - upper jaw also came forward 3mm. Then six weeks ago I had a revision MMA that was an additional 5mm upper 9mm lower.
So in total, my movements from where I was two years ago are roughly 11mm upper 16 lower, no genio. My sleep - which was waking up every two hours on a consistent basis, has only mildly improved. Sometimes it’s three before I wake up, sometimes it’s five. But I’m never rested in the morning and exhausted all day. I’m a 29 year old woman, 5’1 and 105 pounds. My surgeon did a DISE last week to see if I needed more advancement but found no obstruction on any level. My minimum axial area went from 86 to 220.
Is my brain just not used to being able to breathe correctly at this point? Does anyone have any experience with not being immediately cured post op? I’m gonna start myofunctional therapy next week, is there anything else that could be causing this?
Also, does anyone know what the target total airway volume should be?