Intermaxillary Fixation Techniques An EACMFS workbook on keying occlusion and restoring bony anatomy by intermaxillary fixation techniques. Editors. José M . Objective: Various techniques have been employed from time to time to achieve maxillomamdibular fixation. Although arch bars provide an. The utilization and technique of placement for Erich arch bars, Ivy loops, Ernst fixation;. Mandible fracture;. Intermaxillary fixation;. Ivy loops;. Ernst ligatures.

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Sixty dentulous patients who reported to Department of Oral and Maxillofacial Surgery, Al-Ameen Dental College and Hospital, Bijapur with mandibular fractures and required intermaxillary fixation as a part of treatment plan followd by open reduction and internal fixation under GA were selected and randomly divided into 2 groups of 30 patients each that is Group A and Group B.

Open in a separate window. Br J Oral Maxillofac Surg. Aldegheri A, Blanc JL. An audit of mandibular fractures treated by intermaxillary fixation using intraoral cortical bone screws. Johnson Laryngoscope Investigative Otolaryngology. Comparison of intra- and post-operative parameters Click here to view.

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Here we present a new IMF technique using single loop-designed wires, providing bucco-lingual stabilization. Erich arch bars, intermaxillary fixation screws, mandibular fractures. Discussion A good IMF technique should be easy and quick, low cost, secure desired occlusion, avoidance of techniquues forces on anterior teeth, minimally invasive, safe for the patient, possess an emergency quick release system. Prepublished online May 8. Intermaxillary fixation IMF remains an important component in the management of many facial fractures.

This article has been cited by other articles in PMC. Wire-free fixation of jaw fractures.

Sitemap What’s Fixatio Feedback Disclaimer. Author information Article notes Copyright and License information Disclaimer. This leads to formation of a spiral through which the other end of the wire is taken out to lock the spiral Fig. Caution in use of tfchniques intermaxillary fixation screws. The parameters compared in both the groups included, surgical time taken, gloves perforation, post-operative occlusion, IMF stability, oral hygiene, patient acceptance and comfort and non-vitality characteristics.


Loop of the wire can be held for easy and swift removal of wires.

A New Simplified Technique for Intermaxillary Fixation by Loop-Designed Wire

National Center for Biotechnology InformationU. The average surgical time taken and gloves perforations were more in Group A,the patient acceptance and oral hygiene was better in Group B, there was not much statistically significant difference in postoperative occlusion and IMF stability in both groups. Plastic and Reconstructive Surgery – Global Open.

Support Center Support Center. In the treatment of maxillofacial fractures, Inter-maxillary fixation IMF is an important. Advantage with this technique is that there is no requirement of any custom-made appliance or laboratory work and can be made at the time of the procedure. National Center for Biotechnology InformationU. The number of wires and size of spiral can be varied depending on the type of fracture and embrasure space, respectively.

Interdental spaces with tight embrasures, of upper and lower corresponding posterior teeth most commonly between first and second molars on both sides and anterior pair of teeth between central incisorsare chosen. Application of intermaxillary fixation screws in maxillofacial trauma. Intermaxillary fixation with buccolingual stabilization. Acknowledgment Conflict of interest: Maxillofacial fractures, Inter-maxillary fixation, Loop-designed wire.

Spiral Intermaxillary Fixation

Steinbacher Plastic and Reconstructive Surgery. Journal List Craniomaxillofac Trauma Reconstr v. It is an easy, simplified, economical and minimally invasive technique.

Yuvika Raj KumarB. Int J Oral Maxillofacial Surg. The Ulster hook for intermaxillary fixation. Address for correspondence and reprint requests Yuvika Raj Kumar, B. Arch bar fixation done Click here to view. Technique In this technique, single 26 gauge stainless steel wire of 6 inches is taken, which is shaped as Ivy loop.


Similarly, other spiral wires are prepared. This technique makes use of six evenly spaced spiraled wires three in each maxilla and mandible.

The loop wire is passed around the neck of the upper first molar tooth, both ends of loop wire going from buccal to palatal, one along the mesial surface and other end along the distal surface of tooth Fig. Intermaxillary fixation screws versus Erich arch bars in mandibular fractures: A good IMF technique should be easy and quick, low cost, secure desired occlusion, avoidance of unwanted forces on anterior teeth, minimally invasive, safe for the patient, possess an emergency quick release system.

The final positioning of spiral wires in maxilla. However, the authors have found that there are certain drawbacks pertaining to this technique, for example, if one set of upper and lower wires breaks while twisting, then all the wires need to be released and redone.

The effect of interdental continuous loop wire splinting and intermaxillary fixation on the marginal gingiva. After achieving the occlusion, the ends of wire are twisted together on the buccal surface of the lower premolar and molar teeth on both sides Fig. Maxillomandibular fixation with Otten mini-hooks.

Typical indications for its use are minimally displaced fractures, deep bite cases, stabilization of fracture during open reduction and internal fixation, orthognathic surgeries and in tumor resection surgeries.

J Maxillofac Oral Surg.