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Problems with Intermaxillary Fixation in Facial Trauma
Intermaxillary fixation is the treatment for many maxillofacial fractures. It’s indicated to immobilise the fractured segments in their anatomically reduced position. It’s done with closed reduction where occlusion is taken as guide for alignment. It’s indicated for non-displaced favourable fractures, grossly communited fractures, fractures of mandible, condylar fractures. The problems with temporary maxillomandibular fixation primarily include altered food intake. The diet of the patient is completely modified for intake of fluids primarily. This alters the nutritional status of the patient inevitably. Patients are temporarily disabled to adequately perform their function of speech and mastication. Intermaxillary fixation is completely contra-indicated in patients suffering from co-morbities like epilepsy and asthma.
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