Ivy Loops: between history and contemporary surgical practice

Abstract

In times of technological advances - such as 3D printing and augmented reality applied to craniofacial surgery - it's surprising, yet comforting, to realize that some of the most effective solutions are still the simplest. A notable example is Ivy Loops, also known as Ivy interdental ties, which are still used in intermaxillary fixation (IMF) for facial fractures and orthognathic surgeries, often following the same principle. In the current scenario, this technique doesn't compete with modern resources - it complements them. More than a relic of the past, Ivy Loops offer a true lesson in biomechanics, cost-effectiveness, and versatility. They are the expression of what is most essential in surgical practice: the balance between science, manual skill, and respect for history.