RECONSTRUCTION OF MANDIBULAR DEFECTS WITH CRESTA ILÍACA INJERTO RETROSPECTIVE RESEARCH OF 24 CASES
DOI:
https://doi.org/10.31984/oactiva.v1i3.207Keywords:
Mandibular defect, autologous bone graft, block resection, mandibular reconstructionAbstract
INTRODUCTION: Establish rate of success, understand the reasons of failure both fundamental steps to build an evidence based medicine that may improve and be replicate in other hands at different latitudes. We present a study on the management of mandibular defects using iliac crest bone graft. OBJETIVE: Evaluate the results of treatment of mandibular reconstruction using iliac crest bone graft. MATERIALS AND METHODS: The research was conducted in the Maxillofacial Surgery Regional Hospital "Gral. I. Zaragoza” in eastern Mexico City form january 2002 to december 2012 with a minimum follow up of 2 years each patient. The sample group was 24 patient with different etiologies caused mandibular bone defect requiring a mandibular reconstruction with iliac crest graft, performed by the same surgeon Maxillo facial. RESULTS: Patients showed a success rate of 87% in terms of stability, integration and moderate bone resorption. Mediate postsurgical infection was the most common complication 20.8%, of which two patients ended with failure and loss of bone graft. CONCLUSIONS: The iliac crest graft is reliable method for the reconstruction of mandibular defect with a predictable recovery of mandibular function, and a possibility of oral rehabilitation.
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2 Gendern E, Rinaldo A, Suarez C. Complications of free flap transfers for head and neck reconstruction following cancer resection. Oral Oncol 2004; 40: 979-984.
3 Goh B, Lee S, Tiderman H, Soelinga P, Mandibular reconstruction in adults: a review. Int J Oral Maxillofac Surg 2008; 37: 597-605.
4 Koch W, Yoo G, Goodstein M, Eisele D, Richtsmeier W, Price J. Advantages of mandibular reconstruction with the titanium hollow screw osseo-integrating reconstruction plate (THORP). Laringoscope 1994; 104: 545-552.
5 Malik A, Hassan S, Reconstruction of mandibular defects with autogenous bone grafts: A review of 30 cases. J. Ayub Med Coll Abbottabad 2011; 23(3): 82-85.
6 Zavalishina L, Karra N, Suliman W, El-Hakim M. Quality of life assesement in patients after mandibular resection and freefibulaflapreconstruction.JOralMaxillofacSurg2014; 76: 1616-1626.
7 Myong H, Kim Y, Heo M, Lee S, Choi S, Kim M. Comparative radiologic study of bone density and cortical thickness of donor bone used in mandibular reconstruction. Oral Sur Oral Med Oral Pathol Oral Radiol Endod 2001; 91 (1): 2329.
8 Rana M, Warraich R, Kokemuller H, Reconstruction of mandibular defects-clinical retrospective research over a 10 year period. Head Neck Oncol. 2011; 3 23(3): 1-7 .
9 Zubing L, Yifang Z, Sheng Y, Jibong Z, Shibin Y, Wnferng Z. Immediate reconstruction of mandibular defects: A retrospective report of 242 Cases. American Association of Oral and Maxillofacial Surgeon 2006; 06: 283-890.
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