A Case of Maxillary Fracture Having Severe Dementia Treated by Intramaxillary Fixation with a Splint

Abstract

We recognize that delirium and deterioration of dementia were dominantly found in the patients with dementia after operation under general anesthesia. On the other hand, the patiens with maxillary and mandibular fracture sometimes have aspiration pneumonitis under the intermaxillary fixation. We experienced a good case of maxillary fracture having severe dementia treated by intramaxillary fixation with a splint instead of intermaxillary fixation. The patient, who was a 78-year-old woman, was refered to our department claiming a face blow because of the falling-down. Diagnosed maxillary fracture, the patient was set a splint in the upper jaw, and was removed it after 6 weeks-fixation. The bony healing was recognized one year after the trauma.