Behbehani F, Al-Aryan H, Al-Attar A, Al-Hamad N
Department of Developmental and Preventive Sciences, Kuwait University, Kuwait.
Int J Oral Maxillofac Surg. 2006 Jul;35(7):618-23. doi: 10.1016/j.ijom.2006.01.010. Epub 2006 Feb 28.
Weight loss is one of the major side effects associated with intermaxillary fixation (IMF) following orthognathic surgery or jaw fractures. The aim of this study was to retrospectively interview patients treated with intermaxillary fixation for diet control (IMFDC) to collect base-line information regarding: (1) perceived effectiveness, patients' compliance and patients' satisfaction with the treatment; (2) the frequency of side effects associated with IMFDC. The results show that IMFDC significantly reduced weight by a mean of 6.8 kg during treatment, and a mean of 4.1 kg at a minimum of 1 month following IMFDC removal (P<0.0001). Only 32.5% of the patients complied with the planned period of IMFDC treatment while 70% were satisfied with the treatment results. The most common side effects were speech problems and oral-facial pain with a prevalence of 52.5 and 32.5%, respectively. IMFDC treatment is not effective for long-term weight reduction and may only be used for a very short period of time to initiate weight loss. Exercise and/or special diet programs are healthier and better means to treat obesity and maintain weight loss.
体重减轻是正颌手术或颌骨骨折后颌间固定（IMF）相关的主要副作用之一。本研究的目的是对接受颌间固定饮食控制（IMFDC）治疗的患者进行回顾性访谈，以收集有关以下方面的基线信息：（1）感知到的有效性、患者的依从性以及患者对治疗的满意度；（2）与IMFDC相关的副作用发生频率。结果显示，IMFDC在治疗期间平均显著减轻体重6.8千克，在移除IMFDC后至少1个月时平均减轻体重4.1千克（P<0.0001）。只有32.5%的患者遵守了IMFDC治疗的计划疗程，而70%的患者对治疗结果感到满意。最常见的副作用是言语问题和口腔面部疼痛，发生率分别为52.5%和32.5%。IMFDC治疗对长期减重无效，可能仅在极短时间内用于启动体重减轻。运动和/或特殊饮食计划是治疗肥胖和维持体重减轻更健康、更好的方法。
