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Bone graft from iliac bone for maxillofacial reconstruction: An operative approach with decrease morbidity

Authors: Bassem T. Merry بسيم ميري --- Balsam S. Abdulhamed بلسم عبد الحميد
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 4 Pages: 77-82
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: In Maxillofacial surgeries, iliac bone graft has traditionally been harvested to provide osteoconductive,osteoinductive and osteogenic components to initiate bony formation. There are multiple types of procedures forharvesting iliac bone graft, either by surgical exposure procedure for procurement bone graft bicortical, unicortical,tricortical or by using Fritsch bone harvesting (trephine) system or by Spine-Tech grinding harvester technique. Thisstudy compares procedures for harvesting iliac bone graft by using sub-crestal window technique procedure andtrap-door iliac crest bone graft procedure for different purposes like alveolar cleft, bone resection due to tumor,reconstruction of avulsed facial bone due to trauma by bullet injury or RTA, confirming that donor site morbidity ofthe sub-crestal window technique is more significant than trap-door technique.Patients and methods: In this study (40 patients / 22♂:18♀) underwent harvesting of iliac bone graft with age range(3.5-65 years) in Al-Kadhmyea Teaching Hospital (2009-2012) for different purposes like alveolar cleft, reconstructionof mandible after tumor resection and reconstruction of maxillofacial defects due to massive blast or bullet injury.Results and Conclusions: The results indicate that major complications from ICBG harvest are uncommon, but minorcomplications are common. The findings suggest that donor site morbidity of the sub-crestal window technique issignificantly less than trapdoor technique. Making the sub-crestal window technique is the method of choice forharvesting large amounts of bone graft

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