Treatment of massive obesity by prolonged jaw immobilization for edentulous patients
Identifieur interne : 00D969 ( Main/Exploration ); précédent : 00D968; suivant : 00D970Treatment of massive obesity by prolonged jaw immobilization for edentulous patients
Auteurs : Alastair N. Goss [Australie] ; P. Harding ; S. Rodgers ; D. W. Thomas ; R. S. Kalucy ; P. H. Wise ; M. H. Alp ; B. A. Higgins ; C. G. BarrowSource :
- International Journal of Oral Surgery [ 0300-9785 ] ; 1980.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Adelaide, Adelaide obesity group, Adult, Alimentary, Alimentary tract surgery, Anaesthesia, Anaesthetic, Circumpalatal wire, Dentate, Dentate patients, Denture, Denture, Complete, Edentulous, Edentulous cases, Female, Fixation, Fixation appliances, Gastric, General anaesthesia, Goss, Humans, Immobilization, Intermaxillary, Intermaxillary fixation, Intermaxillary wires, Jaw (surgery), Jaw, Edentulous, Massive obesity, Maxillary dentures, Middle Aged, Mouth, Edentulous, Normal quality, Obese, Obese patients, Obesity, Obesity (therapy), Oral pathology, Oral state, Oral surg, Postoperative Complications, Psychiatric decompensation, Satisfactory weight loss, Severe hair loss, Surgical, Weight loss, Weight reduction, Wiring, edentulous, fixation, intermaxillary, obesity.
- MESH :
- Teeft :
- Adelaide, Adelaide obesity group, Adult, Alimentary, Alimentary tract surgery, Anaesthesia, Anaesthetic, Circumpalatal wire, Dentate, Dentate patients, Denture, Denture, Complete, Edentulous, Edentulous cases, Female, Fixation, Fixation appliances, Gastric, General anaesthesia, Goss, Humans, Immobilization, Intermaxillary, Intermaxillary fixation, Intermaxillary wires, Jaw, Edentulous, Massive obesity, Maxillary dentures, Middle Aged, Mouth, Edentulous, Normal quality, Obese, Obese patients, Obesity, Oral pathology, Oral state, Oral surg, Postoperative Complications, Psychiatric decompensation, Satisfactory weight loss, Severe hair loss, Surgical, Weight loss, Weight reduction, Wiring.
Abstract
Abstract: Twenty massively obese patients who were edentulous in one or both jaws were treated by prolonged jaw immobilization. Dentures were secured under general anaesthesia to the edentulous jaws by various direct wiring methods and the jaws immobilized by interdental wires, where teeth were present, and intermaxillary wires. The wired-in dentures were generally well tolerated with minimal mucosal reaction but with a high incidence of infection around the attachment wires. Patients edentulous in one jaw alone, (11 maxilla, two mandible), managed well and 11 achieved a satisfactory weight loss. The seven patients edentulous in both jaws had considerable difficulty with pain and infection, three having the fixation appliances removed in the immediate post-operative period and only one achieved a satisfactory weight loss. Thus prolonged jaw immobilization is an effective means of treating massively obese patients if they are edentulous in one jaw alone but less so if they are completely edentulous.
Url:
DOI: 10.1016/S0300-9785(80)80031-7
Affiliations:
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Goss</name><affiliation wicri:level="2"><country>Australie</country><placeName><region type="state">Australie-Méridionale</region></placeName><wicri:cityArea>Department of Oral Pathology and Oral Surgery, The University of Adelaide, Adelaide</wicri:cityArea></affiliation></author><author><name sortKey="Harding, P" sort="Harding, P" uniqKey="Harding P" first="P." last="Harding">P. Harding</name><affiliation><wicri:noCountry code="no comma">Royal Adelaide Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Rodgers, S" sort="Rodgers, S" uniqKey="Rodgers S" first="S." last="Rodgers">S. Rodgers</name><affiliation><wicri:noCountry code="no comma">Royal Adelaide Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Thomas, D W" sort="Thomas, D W" uniqKey="Thomas D" first="D. W." last="Thomas">D. W. Thomas</name><affiliation><wicri:noCountry code="no comma">Royal Adelaide Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Kalucy, R S" sort="Kalucy, R S" uniqKey="Kalucy R" first="R. S." last="Kalucy">R. S. Kalucy</name><affiliation><wicri:noCountry code="no comma">Flinders Medical Centre</wicri:noCountry></affiliation></author><author><name sortKey="Wise, P H" sort="Wise, P H" uniqKey="Wise P" first="P. H." last="Wise">P. H. Wise</name><affiliation><wicri:noCountry code="no comma">Flinders Medical Centre</wicri:noCountry></affiliation></author><author><name sortKey="Alp, M H" sort="Alp, M H" uniqKey="Alp M" first="M. H." last="Alp">M. H. Alp</name><affiliation><wicri:noCountry code="no comma">Queen Elizabeth Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Higgins, B A" sort="Higgins, B A" uniqKey="Higgins B" first="B. A." last="Higgins">B. A. Higgins</name><affiliation><wicri:noCountry code="no comma">Queen Elizabeth Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Barrow, C G" sort="Barrow, C G" uniqKey="Barrow C" first="C. G." last="Barrow">C. G. Barrow</name><affiliation><wicri:noCountry code="no comma">Queen Elizabeth Hospital</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Oral Surgery</title><title level="j" type="abbrev">IJOS</title><idno type="ISSN">0300-9785</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1980">1980</date><biblScope unit="volume">9</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="253">253</biblScope><biblScope unit="page" to="258">258</biblScope></imprint><idno type="ISSN">0300-9785</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0300-9785</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adelaide</term><term>Adelaide obesity group</term><term>Adult</term><term>Alimentary</term><term>Alimentary tract surgery</term><term>Anaesthesia</term><term>Anaesthetic</term><term>Circumpalatal wire</term><term>Dentate</term><term>Dentate patients</term><term>Denture</term><term>Denture, Complete</term><term>Edentulous</term><term>Edentulous cases</term><term>Female</term><term>Fixation</term><term>Fixation appliances</term><term>Gastric</term><term>General anaesthesia</term><term>Goss</term><term>Humans</term><term>Immobilization</term><term>Intermaxillary</term><term>Intermaxillary fixation</term><term>Intermaxillary wires</term><term>Jaw (surgery)</term><term>Jaw, Edentulous</term><term>Massive obesity</term><term>Maxillary dentures</term><term>Middle Aged</term><term>Mouth, Edentulous</term><term>Normal quality</term><term>Obese</term><term>Obese patients</term><term>Obesity</term><term>Obesity (therapy)</term><term>Oral pathology</term><term>Oral state</term><term>Oral surg</term><term>Postoperative Complications</term><term>Psychiatric decompensation</term><term>Satisfactory weight loss</term><term>Severe hair loss</term><term>Surgical</term><term>Weight loss</term><term>Weight reduction</term><term>Wiring</term><term>edentulous</term><term>fixation, intermaxillary</term><term>obesity</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bouche édentée</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Immobilisation</term><term>Mâchoire ()</term><term>Mâchoire édentée</term><term>Obésité ()</term><term>Prothèse dentaire complète</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Obesity</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Adelaide</term><term>Adelaide obesity group</term><term>Adult</term><term>Alimentary</term><term>Alimentary tract surgery</term><term>Anaesthesia</term><term>Anaesthetic</term><term>Circumpalatal wire</term><term>Dentate</term><term>Dentate patients</term><term>Denture</term><term>Denture, Complete</term><term>Edentulous</term><term>Edentulous cases</term><term>Female</term><term>Fixation</term><term>Fixation appliances</term><term>Gastric</term><term>General anaesthesia</term><term>Goss</term><term>Humans</term><term>Immobilization</term><term>Intermaxillary</term><term>Intermaxillary fixation</term><term>Intermaxillary wires</term><term>Jaw, Edentulous</term><term>Massive obesity</term><term>Maxillary dentures</term><term>Middle Aged</term><term>Mouth, Edentulous</term><term>Normal quality</term><term>Obese</term><term>Obese patients</term><term>Obesity</term><term>Oral pathology</term><term>Oral state</term><term>Oral surg</term><term>Postoperative Complications</term><term>Psychiatric decompensation</term><term>Satisfactory weight loss</term><term>Severe hair loss</term><term>Surgical</term><term>Weight loss</term><term>Weight reduction</term><term>Wiring</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bouche édentée</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Immobilisation</term><term>Mâchoire</term><term>Mâchoire édentée</term><term>Obésité</term><term>Prothèse dentaire complète</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Twenty massively obese patients who were edentulous in one or both jaws were treated by prolonged jaw immobilization. Dentures were secured under general anaesthesia to the edentulous jaws by various direct wiring methods and the jaws immobilized by interdental wires, where teeth were present, and intermaxillary wires. The wired-in dentures were generally well tolerated with minimal mucosal reaction but with a high incidence of infection around the attachment wires. Patients edentulous in one jaw alone, (11 maxilla, two mandible), managed well and 11 achieved a satisfactory weight loss. The seven patients edentulous in both jaws had considerable difficulty with pain and infection, three having the fixation appliances removed in the immediate post-operative period and only one achieved a satisfactory weight loss. Thus prolonged jaw immobilization is an effective means of treating massively obese patients if they are edentulous in one jaw alone but less so if they are completely edentulous.</div></front></TEI><affiliations><list><country><li>Australie</li></country><region><li>Australie-Méridionale</li></region></list><tree><noCountry><name sortKey="Alp, M H" sort="Alp, M H" uniqKey="Alp M" first="M. H." last="Alp">M. H. Alp</name><name sortKey="Barrow, C G" sort="Barrow, C G" uniqKey="Barrow C" first="C. G." last="Barrow">C. G. Barrow</name><name sortKey="Harding, P" sort="Harding, P" uniqKey="Harding P" first="P." last="Harding">P. Harding</name><name sortKey="Higgins, B A" sort="Higgins, B A" uniqKey="Higgins B" first="B. A." last="Higgins">B. A. Higgins</name><name sortKey="Kalucy, R S" sort="Kalucy, R S" uniqKey="Kalucy R" first="R. S." last="Kalucy">R. S. Kalucy</name><name sortKey="Rodgers, S" sort="Rodgers, S" uniqKey="Rodgers S" first="S." last="Rodgers">S. Rodgers</name><name sortKey="Thomas, D W" sort="Thomas, D W" uniqKey="Thomas D" first="D. W." last="Thomas">D. W. Thomas</name><name sortKey="Wise, P H" sort="Wise, P H" uniqKey="Wise P" first="P. H." last="Wise">P. H. Wise</name></noCountry><country name="Australie"><region name="Australie-Méridionale"><name sortKey="Goss, Alastair N" sort="Goss, Alastair N" uniqKey="Goss A" first="Alastair N." last="Goss">Alastair N. Goss</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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