Intermaxillary fixation as co-adjuvant treatment for morbid obesity

The effective long-term treatments for morbid obesity is bariatric surgery. However, the associated surgical and anesthetic risks led the authors to evaluate intermaxillary fixation, a less aggressive procedure, as a preoperative treatment in selected patients with morbid obesity. 22 patients (5 mal...

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Bibliographic Details
Published in:Obesity surgery 2004-06, Vol.14 (6), p.829-832
Main Authors: Vassimon, Helena Siqueira, Pigoli, Daniela Regina, de Oliveira Neto, Fausto Viterbo, Palhares, Aristides, Haddad, Adriana Lúcia Mendes, Padovani, Carlos Roberto, Mazzoni, Augusto, Nogueira, Célia Regina
Format: Article
Language:English
Subjects:
Adolescent
Adult
Blood pressure
Cholesterol - blood
Comorbidity
Gastrointestinal surgery
Humans
Hypertension - epidemiology
Maxilla - surgery
Middle Aged
Obesity
Obesity, Morbid - blood
Obesity, Morbid - epidemiology
Obesity, Morbid - prevention & control
Prospective Studies
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Summary:The effective long-term treatments for morbid obesity is bariatric surgery. However, the associated surgical and anesthetic risks led the authors to evaluate intermaxillary fixation, a less aggressive procedure, as a preoperative treatment in selected patients with morbid obesity. 22 patients (5 male, 17 female, ages 16-53 years, with BMI 44.9+/-5.4 kg/m(2)) underwent intermaxillary fixation. The procedure consisted of fitting brackets on the front face of the teeth and posterior application of elastic bands to impede mouth opening. At the end of 6 weeks, weight loss was 7.4+/-2.6%. There was general improvement in lipid profile, glycemia, and blood pressure. There was no recorded discomfort, pain, or any other difficulty during this treatment. Intermaxillary fixation can be used as a pre-surgical solution for weight reduction in preparation for bariatric surgery, improving co-morbid aspects such as blood pressure, glycemia, and lipid profile.
ISSN:0960-8923
1708-0428
DOI:10.1381/0960892041590881