Brian,

It sounds like you've been through al lot already. Did you undergo any soft tissue procedures before the MMA? One option is to do the reverse of the Stanford protocol, which is to undergo a mandibular osteotomy with genioglossus advancement and hyoid myotomy with suspension (all after the MMA). This should pull your tongue forward. An alternative is to substitute the Repose suture for the genioglossus advancement. The Coblation of the tongue base is a good thought, but it's not a standard procedure (yet) because it's so new. But if you want to start off with a minimally invasive procedure, it's worth a try. But you should find someone that has done a lot. I think Michael Friedman at Rush has done a lot.