Abstract
Introduction
The aim of this study was to compare body weight loss between postoperative intermaxillary fixation with metal wire and elastic traction and to investigate factors related to body weight loss after orthognathic surgery.
Materials and methods
Subjects were 59 patients with dentofacial deformity, comprising 31 patients treated with intermaxillary fixation (IMF) and 28 patients treated with elastic traction without IMF (ELT) just after surgery. Body weight loss was measured at 1 week (T1) and 2 weeks (T2) after surgery. Body weight loss was compared between IMF and ELT, and factors related to body weight loss were statistically analyzed.
Results
Body weight loss ratio was significantly increased in IMF (2.6%) rather than in ELT (1.4%) at T1, but only tended to be increased in both groups at T2, showing no statistical difference. Body weight loss ratio was significantly increased at T2 compared to T1 in both groups. Body weight loss was significantly greater at T2 than at T1.
Conclusion
Both IMF and ELT cause body weight loss after orthognathic surgery, but IMF causes body weight loss earlier than ELT and increased early body weight loss increases continuous body weight loss after orthognathic surgery.
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References
Guo CB, Ma DQ, Zhang KH (1994) Applicability of general nutritional status score to patients with oral and maxillofacial malignancies. Int J Oral Maxillofac Surg 23:167–169
Howard L, Ashley C (2003) Nutrition in the perioperative patient. Annu Rev Nutr 23:263–282
Albina JE (1994) Nutrition and wound healing. J Parenter Enteral Nutr 18:367–376
Williams JZ, Barbul A (2003) Nutrition and wound healing. Surg Clin North Am 83:571–596
Felblinger DM (2003) Malnutrition, infection, and sepsis in acute and chronic illness. Crit Care Nurs Clin North Am 15:71–78
Hayter JP, Cawood JI (1993) The functional case for miniplates in maxillofacial surgery. Int J Oral Maxillofac Surg 22:91–96
Behbehani F, Al-Aryan H, Al-Attar A, Al-Hamad N (2006) Perceived effectiveness and side effects of intermaxillary fixation for diet control. Int J Oral Maxillofac Surg 35:618–623
Kuvat SV, Güven E, Hocaoqlu E, Basaran K, Marsan G, Cura N, Emekli U (2010) Body fat composition and weight changes after double-jaw osteotomy. J Craniofac Surg 21:1516–1518
Studley HD (1936) Percentage of weight loss: basic indicator of surgical risk in patients with chronic peptic ulcer. JAMA 106:458–460
World Health Organization. Obesity (1998) Preventing and managing the global epidemic. Report of a WHO consultation on obesity. World Health Organization: Geneva
Chandra RK (1995) Nutrition and immunity in elderly in the elderly: clinical significance. Nutr Rev 53:S80–S83
Rubcrg I (1984) Role of nutrition in wound healing. Surg Clin Korth Am 64:721
Law DK, Dudrick SJ, Abdou XI (1974) The eflects of dietary protein depletion on immunocompetence. Ann Surg 179:168
Leigh J (1986) Postoperative cart III. In: Rowe KL, Williams JL (eds) Maxillofacial injuries. Churchill Livingstonc, Edinburgh, p 701
Tadano S, Terashima H, Fukuzawa J, Mastuo R, Ikeda O, Ohkohchi N (2011) Early postoperative oral intake accelerates upper gastrointestinal anastomotic healing in the rat model. J Surg Res 169:202–208
Bozzetti F (1989) Effects of artificial nutrition on the nutritional status of cancer patients. J Parenter Enteral Nutr 13:406–420
Worrall SF (1994) Changes in weight and body composition after orthognathic surgery and jaw fractures: a comparison of miniplates and intermaxillary fixation. Br J Oral Maxillofac Surg 32:289–292
Cawood JI (1985) Small plate osteosvnthesis of mandibular fractures. Br J Oral Maxillofac Surg 23:77
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Ooi, K., Inoue, N., Matsushita, K. et al. Body Weight Loss After Orthognathic Surgery: Comparison Between Postoperative Intermaxillary Fixation with Metal Wire and Elastic Traction, Factors Related to Body Weight Loss. J. Maxillofac. Oral Surg. 20, 95–99 (2021). https://doi.org/10.1007/s12663-019-01318-6
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DOI: https://doi.org/10.1007/s12663-019-01318-6