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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The upper and lower arch bars or Ivy eyelet wiring is secured by wires and IMF is done with the help of box wiring. This article has been cited by. Author information Article notes Copyright and License information Disclaimer.

Spiral Intermaxillary Fixation

An audit of mandibular fractures treated by intermaxillary fixation using intraoral cortical bone screws. Since time immemorial there is a constant quest of oral tfchniques maxillofacial surgeons to find a quick way for IMF.

The number of wires and size of spiral can be varied depending on the type of fracture and embrasure space, respectively. Open reduction and internal fixation done after placement of intermaxillary fixation screws Click here to view.

Intermaxillary fixation with buccolingual stabilization. Holmes S, Hutchison I. Support Center Support Center. However the introduction of intermaxillary fixation screws IMF has eliminated many of these issues of arch bars. The average fixaion 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.


Open reduction and fixation done itermaxillary arch bar fixation Click here to view. Steinbacher Plastic and Reconstructive Surgery. As less number of wires is used in this technique, hence the incidence of needle stick injury and gingival trauma also decreases as compared with arch bars.

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

Intermaxillary fixation with IMF screws is more efficacious compared to Erich arch bars in the treatment of mandibular fractures. An audit of mandibular fractures treated by intermaxillary fixation using intraoral cortical bone screws. Aldegheri A, Blanc JL. A simplified appliance for maxillomandibular fixation.

How to cite this URL: Various techniques have been employed from time to time to achieve maxillomamdibular fixation. 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.

Published online Jul Wire-free fixation of jaw fractures. Address for correspondence and reprint requests Yuvika Raj Kumar, B. Accidental root perforation was the only intermaxillwry of IMF screws.

Intermxillary Oral Maxillofac Fixatioh ; Abstract Intermaxillary fixation IMF remains an important component in the management of many facial fractures. Maxillomandibular fixation with Otten mini-hooks.

Int J Oral Maxillofacial Surg. Caution in use of bicortical 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.


Technique In this technique, single 26 gauge stainless steel wire of 6 inches is taken, which is shaped as Ivy loop. Intermaxillary fixation screws versus Erich arch bars in mandibular fractures: Same procedure is repeated on the premolar teeth and on the contralateral side molar and premolar regions.

Six prestretched gauge wires are taken. A rapid, safe, and non-invasive maxillo-mandibular fixation technology. However, the authors have found that there fixxtion 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.

Then both ends of wire are passed back around the lower first molar from lingual to buccal aspect in a similar approach Fig. Arch bar fixation done Click here to view. Results of intraoral cortical bone screw fixation technique for mandibular fractures.

Spiral wires are placed in mandible and then the free end of both maxillary and mandibular wires are tightened to achieve IMF. Comparison of intra- and post-operative parameters Click here to ijtermaxillary.

Spiral Intermaxillary Fixation

Different IMF methods, including prefabricated arch bars, direct interdental wiring, continuous or multiple loop wiring, and IMF screws, have been reported [ 12 ]. Br J Oral Maxilllofac Surg. National Center for Interaxillary InformationU.