Enforced Intermaxillary Fixation (IMF) as a Treatment for Obesity
Identifieur interne : 002958 ( Istex/Corpus ); précédent : 002957; suivant : 002959Enforced Intermaxillary Fixation (IMF) as a Treatment for Obesity
Auteurs : Hugh CannellSource :
- Obesity Surgery [ 0960-8923 ] ; 1992-08-01.
English descriptors
- KwdEn :
- Arch bars, Artificial teeth, Bariatric surgery, Cleats, Dental arch, Dietary advice, Edentulous patients, Fixation, Further patients, High quality leather belt, Linkage, Liquid diet, Lower splints, Nylon cord, Obese, Obese patients, Obesity, Obesity surgery, Oral surg, Other forms, Previous experience, Rigid linkage, Severe disability, Severe obesity, Solid diet, Splint, Turner street, Various forms, Weight gain, Weight loss, Weight reduction, Wires stretch, Wiring.
- Teeft :
- Arch bars, Artificial teeth, Bariatric surgery, Cleats, Dental arch, Dietary advice, Edentulous patients, Fixation, Further patients, High quality leather belt, Linkage, Liquid diet, Lower splints, Nylon cord, Obese, Obese patients, Obesity, Obesity surgery, Oral surg, Other forms, Previous experience, Rigid linkage, Severe disability, Severe obesity, Solid diet, Splint, Turner street, Various forms, Weight gain, Weight loss, Weight reduction, Wires stretch, Wiring.
Abstract
Intermaxillary fixation (IMF) using metal cap splints and various linkages was tried in a group of 11 patients who had requested restriction of solid diet as a treatment for their obesity (Quetelet's index > 25-35). Compliance with treatment protocols was successfully addressed by means of support from physicians, dietitians, clinical psychologists and by peer groups. Non-compliance was defined and agreed. The full cap splints for each dental arch, linked and enforced by special rigid locking devices, proved to be a reliable technique of IMF for periods of up to 3 months. Thereafter, the majority of the patients attempted interference with the IMF linkage or detached the splints. Eight patients gained weight after removal of the IMF. Two patients were successful in weight stabilization after 2-14 kg weight loss during IMF. It is probable that psychological and personal factors contributed to their success. It was concluded that by itself, rigidly enforced IMF for 3 months or longer was an unsuitable treatment mode for the majority of obese patients but could be used as a preparation for other forms of bariatric surgery.
Url:
DOI: 10.1381/096089292765560097
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ISTEX:54660878A37F0B06666283F00E507E22F62A06D5Le document en format XML
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Compliance with treatment protocols was successfully addressed by means of support from physicians, dietitians, clinical psychologists and by peer groups. Non-compliance was defined and agreed. The full cap splints for each dental arch, linked and enforced by special rigid locking devices, proved to be a reliable technique of IMF for periods of up to 3 months. Thereafter, the majority of the patients attempted interference with the IMF linkage or detached the splints. Eight patients gained weight after removal of the IMF. Two patients were successful in weight stabilization after 2-14 kg weight loss during IMF. It is probable that psychological and personal factors contributed to their success. It was concluded that by itself, rigidly enforced IMF for 3 months or longer was an unsuitable treatment mode for the majority of obese patients but could be used as a preparation for other forms of bariatric surgery.</div></front></TEI><istex><corpusName>springer</corpusName><keywords><teeft><json:string>splint</json:string><json:string>fixation</json:string><json:string>weight loss</json:string><json:string>obese</json:string><json:string>cleats</json:string><json:string>obesity surgery</json:string><json:string>dental arch</json:string><json:string>severe obesity</json:string><json:string>linkage</json:string><json:string>wiring</json:string><json:string>obesity</json:string><json:string>high quality leather belt</json:string><json:string>weight gain</json:string><json:string>oral surg</json:string><json:string>rigid linkage</json:string><json:string>obese patients</json:string><json:string>solid diet</json:string><json:string>artificial teeth</json:string><json:string>lower splints</json:string><json:string>edentulous patients</json:string><json:string>arch bars</json:string><json:string>dietary advice</json:string><json:string>previous experience</json:string><json:string>other forms</json:string><json:string>bariatric surgery</json:string><json:string>various forms</json:string><json:string>turner street</json:string><json:string>further patients</json:string><json:string>nylon cord</json:string><json:string>liquid diet</json:string><json:string>weight reduction</json:string><json:string>severe disability</json:string><json:string>wires stretch</json:string></teeft></keywords><author><json:item><name>Hugh Cannell MD, MSC, FDSRCS</name><affiliations><json:string>Department of Oral and Maxillo-Facial Surgery, The London Hospital Medical College, University of London, Turner Street, London E1 2AD, UK</json:string></affiliations></json:item></author><articleId><json:string>58</json:string><json:string>Art8</json:string></articleId><arkIstex>ark:/67375/1BB-HMV9JN3P-V</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>OriginalPaper</json:string></originalGenre><abstract>Intermaxillary fixation (IMF) using metal cap splints and various linkages was tried in a group of 11 patients who had requested restriction of solid diet as a treatment for their obesity (Quetelet's index > 25-35). Compliance with treatment protocols was successfully addressed by means of support from physicians, dietitians, clinical psychologists and by peer groups. Non-compliance was defined and agreed. The full cap splints for each dental arch, linked and enforced by special rigid locking devices, proved to be a reliable technique of IMF for periods of up to 3 months. Thereafter, the majority of the patients attempted interference with the IMF linkage or detached the splints. Eight patients gained weight after removal of the IMF. Two patients were successful in weight stabilization after 2-14 kg weight loss during IMF. It is probable that psychological and personal factors contributed to their success. 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Compliance with treatment protocols was successfully addressed by means of support from physicians, dietitians, clinical psychologists and by peer groups. Non-compliance was defined and agreed. The full cap splints for each dental arch, linked and enforced by special rigid locking devices, proved to be a reliable technique of IMF for periods of up to 3 months. Thereafter, the majority of the patients attempted interference with the IMF linkage or detached the splints. Eight patients gained weight after removal of the IMF. Two patients were successful in weight stabilization after 2-14 kg weight loss during IMF. It is probable that psychological and personal factors contributed to their success. It was concluded that by itself, rigidly enforced IMF for 3 months or longer was an unsuitable treatment mode for the majority of obese patients but could be used as a preparation for other forms of bariatric surgery.</p></abstract><textClass><keywords scheme="Journal-Subject-Group"><list><label>H</label><label>H59001</label><item><term>Medicine & Public Health</term></item><item><term>Surgery</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1992-08-01">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-10-2">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/54660878A37F0B06666283F00E507E22F62A06D5/fulltext/txt</uri></json:item></fulltext><metadata><mods version="3.6"><titleInfo lang="en"><title>Enforced Intermaxillary Fixation (IMF) as a Treatment for Obesity</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Enforced Intermaxillary Fixation (IMF) as a Treatment for Obesity</title></titleInfo><name type="personal"><namePart type="given">Hugh</namePart><namePart type="family">Cannell</namePart><namePart type="termsOfAddress">MD, MSC, FDSRCS</namePart><affiliation>Department of Oral and Maxillo-Facial Surgery, The London Hospital Medical College, University of London, Turner Street, London E1 2AD, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">New York</placeTerm></place><dateIssued encoding="w3cdtf">1992-08-01</dateIssued><dateIssued encoding="w3cdtf">1992</dateIssued><copyrightDate encoding="w3cdtf">1992</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Intermaxillary fixation (IMF) using metal cap splints and various linkages was tried in a group of 11 patients who had requested restriction of solid diet as a treatment for their obesity (Quetelet's index > 25-35). Compliance with treatment protocols was successfully addressed by means of support from physicians, dietitians, clinical psychologists and by peer groups. Non-compliance was defined and agreed. The full cap splints for each dental arch, linked and enforced by special rigid locking devices, proved to be a reliable technique of IMF for periods of up to 3 months. Thereafter, the majority of the patients attempted interference with the IMF linkage or detached the splints. Eight patients gained weight after removal of the IMF. Two patients were successful in weight stabilization after 2-14 kg weight loss during IMF. It is probable that psychological and personal factors contributed to their success. It was concluded that by itself, rigidly enforced IMF for 3 months or longer was an unsuitable treatment mode for the majority of obese patients but could be used as a preparation for other forms of bariatric surgery.</abstract><relatedItem type="host"><titleInfo><title>Obesity Surgery</title><subTitle>Including Laparoscopy and Allied Care</subTitle></titleInfo><titleInfo type="abbreviated"><title>OBES SURG</title></titleInfo><genre type="journal" displayLabel="Archive Journal" authority="ISTEX" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">1992-08-01</dateIssued><copyrightDate encoding="w3cdtf">1992</copyrightDate></originInfo><subject><genre>Journal-Subject-Group</genre><topic authority="SpringerSubjectCodes" authorityURI="H">Medicine & Public Health</topic><topic authority="SpringerSubjectCodes" authorityURI="H59001">Surgery</topic></subject><identifier type="ISSN">0960-8923</identifier><identifier type="eISSN">1708-0428</identifier><identifier type="JournalID">11695</identifier><identifier type="VolumeIssueCount">3</identifier><part><date>1992</date><detail type="volume"><number>2</number><caption>vol.</caption></detail><detail type="issue"><number>3</number><caption>no.</caption></detail><extent unit="pages"><start>225</start><end>230</end></extent></part><recordInfo><recordOrigin>Springer, 1992</recordOrigin></recordInfo></relatedItem><identifier type="istex">54660878A37F0B06666283F00E507E22F62A06D5</identifier><identifier type="ark">ark:/67375/1BB-HMV9JN3P-V</identifier><identifier type="DOI">10.1381/096089292765560097</identifier><identifier type="ArticleID">58</identifier><identifier type="ArticleID">Art8</identifier><accessCondition type="use and reproduction" contentType="copyright">Springer, 1992</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>Springer, 1992</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/54660878A37F0B06666283F00E507E22F62A06D5/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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