A two-year audit of non-vascularized iliac crest bone graft for mandibular reconstruction: technique, experience and challenges
Journal of the Korean Association of Oral and Maxillofacial Surgeons
;
: 272-277, 2014.
Article
in English
| WPRIM
| ID: wpr-222021
ABSTRACT
OBJECTIVES:
Non-vascularized iliac crest bone graft (NVIBG) is a known treatment option in mandibular reconstruction following jaw resection, but no documented review of patients treated with NVIBG exists for northern Nigeria. The experience and technique from a Nigerian tertiary hospital may serve as baseline data for comparison and improvement of practice for other institutions. MATERIALS ANDMETHODS:
A retrospective review of medical records and patient case files from January 2012 to December 2013 was undertaken. All case files and other medical records of patients who had reconstruction with NVIBG for benign or malignant lesions with immediate or delayed reconstruction were selected for review.RESULTS:
Twenty patients had mandibular reconstruction with NVIBG during the study period. Two patients were excluded because of incomplete medical records. Eighteen patients' (male=14, female=4) records were reviewed. Their ages ranged from 13 to 62 years (mean 26.0+/-10.6 years). Indications for NVIBG included jaw tumors (n=16; 88.3%), jaw cyst (n=1; 5.6%) and gunshot injury (n=1; 5.6%). Jaw tumors seen were ameloblastoma (n=15; 83.3%) and osteosarcoma (n=1; 5.6%). Treatments done were mandibular resection with condylar resection (n=7; 38.9%), mandibular segmental resection (n=10; 55.6%) and subtotal mandibulectomy (n=1; 5.6%). Patients' postoperative reviews and radiographs revealed good facial profile and continued bone stability up to 1 year following NVIBG.CONCLUSION:
NVIBGs provide an acceptable alternative to vascularized bone grafts, genetically engineered bone, and distraction osteogenesis for mandibular reconstruction in resource-limited centers.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ameloblastoma
/
Jaw Cysts
/
Osteosarcoma
/
Medical Records
/
Retrospective Studies
/
Osteogenesis, Distraction
/
Transplants
/
Mandibular Reconstruction
/
Tertiary Care Centers
/
Jaw
Type of study:
Observational study
Limits:
Humans
Country/Region as subject:
Africa
Language:
English
Journal:
Journal of the Korean Association of Oral and Maxillofacial Surgeons
Year:
2014
Type:
Article
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