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To Determine Mean Change In Weight Of Patients Undergoing Maxillomandibular Fixation

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Mushtaq O, Shuja E, Ahmed M, Hassan A, Asim MA, Siddiq M. To Determine Mean Change In Weight Of Patients Undergoing Maxillomandibular Fixation . JRMC [Internet]. 2023 Dec. 30 [cited 2024 Jul. 17];27(4). Available from: https://journalrmc.com/index.php/JRMC/article/view/2337

Abstract

Objective: Optimum management of patient needs is the most important step for the restoration of form and function. Maxillomandibular fixation is one of the treatment modalities used very frequently in maxillofacial surgery. This study aims to determine the mean change in weight in patients undergoing Maxillomandibular Fixation.

Methods: This observational cross-sectional study was conducted at the Department of Oral and Maxillofacial Surgery Foundation University Medical College from 27th April 2018 to 22nd January 2019.

This study included patients male and female, who presented with maxillofacial trauma, orthognathic surgery and procedures in which MMF ( Maxillomandibular fixation ) was indicated were included in this study. Pre-operative weight was measured in kilograms with an analogue weight machine and designated as W1. Patients were advised to a liquid diet and kept on follow-up. After four weeks of MMF again weight of the patient was measured and designated as W2. Follow-up was done through the patient's contact number.

Results: In this study, the mean weight of patients preoperatively was 59.46±12.23 Kg. The postoperative mean weight of patients was 57.81±11.58 Kg. A decrease of 1.65 Kg was seen in the patient’s weight postoperatively.  No significant difference was seen for weight change in patients postoperatively with age, gender, educational status, occupational status, socioeconomic status and an indication of MMF.

Conclusion: Results of this study showed weight loss in patients who underwent maxillomandibular fixation. This factor should be considered during the perioperative period to prevent postoperative complications, postoperative weight loss, and malnutrition of patients undergoing maxillomandibular surgery and reflect the need for guidance on diet postoperatively, mainly directed to frequency of feeding and high protein liquid diet and nutritional supplements.

Keywords: Body mass index, Facial trauma, Maxillomandibular Fixation, Mandibular fracture, Open reduction internal fixation, Orthognathic surgery, Weight loss.

https://doi.org/10.37939/jrmc.v27i4.2337

References

Christensen BJ, Chapple AG, King BJ. How much weight loss can be expected after treating mandibular fractures? Journal of Oral and Maxillofacial Surgery. 2019 Apr 1;77(4):777-82.

Popat SP, Rattan V, Rai S, Jolly SS, Malhotra S. Nutritional intervention during maxillomandibular fixation of jaw fractures prevents weight loss and improves quality of life. British Journal of Oral and Maxillofacial Surgery. 2021 May 1;59(4):478-84.

Bhattay-Loonat S, Gardner J, Miniggio HD. Is it ethical to immobilize a patient’s jaws for weight loss? A deontological perspective. South African Dental Journal. 2023 Apr 1;78(3):160-3.

Lone PA, Khaliq MI, Sharma M, Malik OA, Lone BA. Weight changes (in kg) in mandible fracture patients after IMF: A prospective study. The Traumaxilla. 2019 Apr;1(1):35-7.

Pillai MP, Lahoti K, Tenglikar PD, Sharma A, Singh SP. A comparative study of Psychological analysis during intermaxillary fixation between second and third decade. World Journal of Advanced Research and Reviews. 2022;13(1):689-92.

Bhat MY, Bashir S, Ahmed I. Effect of intermaxillary fixation on paraclinical indexes. Int. J. Appl. Dent. Sci. 2022;8(2):381-3.

Naik K, Lee KC, Torroni A. Does open reduction and internal fixation provide a quality-of-life benefit over traditional closed reduction of mandibular condyle fractures?. Journal of Oral and Maxillofacial Surgery. 2020 Nov 1;78(11):2018-26.

Christensen BJ, Chapple AG, King BJ. What is the effect of treating mandibular fractures on weight and prealbumin?. Journal of Oral and Maxillofacial Surgery. 2019 Jun 1;77(6):1227-e1.

Ooi K, Inoue N, Matsushita K, Yamaguchi HO, Mikoya T, Kawashiri S, Tei K. Factors related to patients’ nutritional state after orthognathic surgery. Oral and maxillofacial surgery. 2019 Dec;23:481-6.

Hino S, Yamada M, Iijima Y, Ohmuro M, Araki R, Kaneko T, Odaka A, Iizuka T, Horie N. Change of body composition, physical strength, and nutritional status of patients with mandibular fractures. Journal of Cranio-Maxillofacial Surgery. 2021 Apr 1;49(4):292-7.

Ghafoor Kayani SA, Ahmed W, Farooq M, ur rehman AT, Nafees Q, Mushtaq Baig AM. Weight loss due to maxillomandibular fixation in mandibular fractures. Pakistan oral & dental journal. 2015 sep 1;35(3).

Genc A. Assessment of temporomandibular joint following maxillomandibular fixation in mandibular fracture patients: A case series. Archives of Trauma Research. 2023 Mar 1;12(1):17-22.

Silvares MG, Borges DS, Ribeiro DP. The use of orthognathic surgery as a start for a very effective weigh loss program: a case study. CONTRIBUCIONES A LAS CIENCIAS SOCIALES. 2023 Mar 17;16(2):784-96.

Ravikumar C, Bhoj M. Evaluation of postoperative complications of open reduction and internal fixation in the management of mandibular fractures: A retrospective study. Indian Journal of Dental Research. 2019 Jan 1;30(1):94.

AlQahtani NA, Kuriadom ST, Jaber M, Varma SR, AlShanably A, Bishawi K. Nutritional State of Orthognathic Surgery Patients: A Systematic Review and Meta-Analysis. Journal of Stomatology, Oral and Maxillofacial Surgery. 2023 Jul 7:101549.

Bhattay-Loonat S. Is it ethical for dentists to wire jaws for weight loss? (Doctoral dissertation).

Inaba Y, Hasebe D, Hashizume K, Suda D, Saito N, Saito D, Sakuma H, Funayama A, Kobayashi T. Changes in nutritional status of patients with jaw deformities due to orthognathic surgery. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2023 Mar 1;135(3):347-54.

Tekin AM, Ali IM. The epidemiology and management of maxillofacial fractures at a tertiary care hospital in a conflict-torn region in Somalia. Journal of Craniofacial Surgery. 2021 Oct 1;32(7):2330-4.

de Castro GA, de Castro VA, Patin R, Nogueira-de-Almeida CA. Assessment of pre-and post-operative nutritional status in patients undergoing orthognathic surgery. Medicina (Ribeirão Preto). 2020 Oct 14;53(3):234-46.

Valiati R, Ibrahim D, Abreu ME, Heitz C, de OLIVEIRA RB, Pagnoncelli RM, Silva DN. The treatment of condylar fractures: to open or not to open? A critical review of this controversy. International journal of medical sciences. 2008;5(6):313.

Hammond D, Williams RW, Juj K, O'Connell S, Isherwood G, Hammond N. Weight loss in orthognathic surgery: a clinical study. Journal of orthodontics. 2015 Sep;42(3):220-8.

Adeyemi MF, Adeyemo WL, Ogunlewe MO, Ladeinde AL. Is healing outcome of 2 weeks intermaxillary fixation different from that of 4 to 6 weeks intermaxillary fixation in the treatment of mandibular fractures?. Journal of oral and maxillofacial surgery. 2012 Aug 1;70(8):1896-902.

Adewole RA. An audit of Mandibular fracture treatment methods at military base hospital Yaba, Lagos, Nigeria (A five-year retrospective study. Nigerian Journal of Clinical Practice. 2001;4(1):1-4.

Ellis III E, Price C. Treatment protocol for fractures of the atrophic mandible. Journal of oral and maxillofacial surgery. 2008 Mar 1;66(3):421-35.

Luhr HG, Reidick T, Merten HA. Results of treatment of fractures of the atrophic edentulous mandible by compression plating: a retrospective evaluation of 84 consecutive cases. Journal of oral and maxillofacial surgery. 1996 Mar 1;54(3):250-4

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Copyright (c) 2023 Osama Mushtaq, Eruj Shuja, Momina Ahmed, Amna Hassan, Muhammad Adil Asim, Maimona Siddiq