University of Khartoum

Some Physiological Changes Following Intrrmaxillary Fixation (Imf)

Some Physiological Changes Following Intrrmaxillary Fixation (Imf)

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Title: Some Physiological Changes Following Intrrmaxillary Fixation (Imf)
Author: Elamin, Nimir Elamin
Abstract: In the Sudan as in many countries, patients with fractured jaws following reduction of the fractures, their jaws are usually immobilized by intermaxillary fixation (IMF) for a period of 4-6 weeks. The method is also used for immobilization of the jaws in patients who have undergone orthognathic surgery. Following inter-maxillary fixation and consequently changes in dietary habits of these patients, many changes in their body composition occur. It is thought that it is worthy to investigate these changes among Sudanese patients and compare them to other published studies. The material of this study consisted of 30 patients with fractured mandibles who were managed at Khartoum Teaching Dental Hospital in the period December 2004 to June 2005. Of the 30 cases, 28 were male patients with a mean age of 30 years, while the remaining 2 cases were female patients with a mean age of 32 years. Following reduction of the fractures (closed or open), all the patients were immobilized by intermaxillary fixation. Investigations of the following parameters; 1/body weight, 2/cholesterol level, 3/triglyceride level, 4/total protein level, 5/albumin level, 6/electrolytes {K+ Na+}, and 7/mid arm circumference; were recorded as follows:- a/ on the day of operation ,b /at the end of the 1st post-operative week, and C/ at the end of the 6th post-operative week. Our findings showed that 24 patients have a significant reduction in body weight and mid arm circumference, while the remaining 6 patients have gained some weight but it was not significant. The Triglycerides and cholesterol were within the normal physiological levels, though there was a slight increase in the level of the former at the end of the first postoperative week, probably due to changes of dietary habits. Similarly the total protein, albumin, and electrolytes levels showed no significant changes. The majority of patients suffered different types of complications including insomnia, headache, irritating feelings, anxiety, apnea, temporal pain, trismus, deviation, and sweating.
URI: http://hdl.handle.net/123456789/7764
Date: 2015-03-30


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