|
African Journal of Biomedical Research
Ibadan Biomedical Communications Group
ISSN: 1119-5096
Vol. 13, No. 2, 2010, pp. 157-160
|
Bioline Code: md10026
Full paper language: English
Document type: Short Communication
Document available free of charge
|
|
African Journal of Biomedical Research, Vol. 13, No. 2, 2010, pp. 157-160
en |
Autogenous Corticocancellous Iliac Bone Graft in Reconstruction of Mandibular Defect: Point of Technique
Ogunlade, S. O; Arotiba, J. T. & Fasola, A. O.
Abstract
Mandible resection and subsequent defect created lead to aesthetic and functional abnormalities. The surgical
reconstruction of the defect is a major challenge in maxillofacial surgery. Lack of appropriate facilities and the high cost of
newer modalities made the use of non-vascularized iliac bone graft in reconstruction of mandibular defect an attractive option
in our environment. The technique of harvesting iliac crest graft is highlighted in this prospective study involving 37 iliac crest
grafts for mandibular defect reconstruction between 1999 and 2006. Ameloblastoma was the most common indication for
mandibular resection in 27 patients (73 percent), while 24 patients (64.9 percent) had hemimandibulectomy which is the most
common type of mandibulectomy. A graft take rate of 91.1percent was achieved in this study. Graft site infection was the most
complication with overall incidence of 27.0 percent. Most of the infections were superficial and responded to antibiotic use and
local wound care. Donor site complications were few in the study. We recommend the use of autogenous iliac bone graft for
reconstruction of mandibular bone defect in our environment
Keywords
Mandible resection, iliac bone graft,
|
|
© Copyright 2010 - Ibadan Biomedical Communications Group
|
|