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August 1968

Improved Intermaxillary Wiring

Author Affiliations

From St. Luke's Hospital, Cleveland. Dr. Brown is a resident in otolaryngology.

Arch Otolaryngol. 1968;88(2):193-195. doi:10.1001/archotol.1968.00770010195018

IMMOBILIZATION of fractured jaw fragments and fixation in correct dental occlusion by means of intermaxillary wiring was first advocated by Gilmer in 1887. A review of the literature over the past 50 years points out that a considerable amount of effort and ingenuity has been directed towards the treatment of mandibular fractures.1 There is presently available a wide variety of techniques and apparatus which might be used for this purpose. In spite of their diversity, all current techniques of closed reduction are still based on Gilmer's original concept. Between 80% and 90% of all fractured mandibles are treated with some form of intermaxillary fixation.1-3 The remainder are treated by circumferential wiring or open reduction methods.

Intermaxillary wiring may be defined as the attachment of the mandibular dental arch to the maxillary dental arch by means of wires or a combination of wires and elastics. The purpose of this

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