Goss A N
Int J Oral Surg. 1980 Aug;9(4):253-8. doi: 10.1016/s0300-9785(80)80031-7.
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.
20例上下颌单颌或双颌无牙的极度肥胖患者接受了长时间的颌骨固定治疗。在全身麻醉下，通过各种直接结扎方法将义齿固定在无牙颌上，并用牙间结扎丝（有牙部位）和颌间结扎丝固定颌骨。固定在口中的义齿通常耐受性良好，黏膜反应轻微，但结扎丝周围感染发生率较高。仅单颌无牙的患者（上颌11例，下颌2例）情况良好，11例体重减轻效果满意。双颌无牙的7例患者在疼痛和感染方面有相当大的困难，3例在术后即刻就拆除了固定装置，只有1例体重减轻效果满意。因此，长时间的颌骨固定是治疗单颌无牙的极度肥胖患者的有效方法，但对于全口无牙的患者效果较差。
