Treatment outcomes of reconstruction with iliac bone graft and rib graft in patients with mandibular defects

ABSTRACT

Iliac bone graft can be used to reconstruct alveolar defects or bone defects under 5 cm. Rib grafts have proven ideal for condylar reconstruction. Objective of this study was to assess the functional and aesthetic outcomes and post operative complications of the reconstructive method. In this study iliac bone alone or combined with rib graft was used for reconstruction of mandibular defects. Sampling technique was non probability purposive. This study was conducted in the Department of oral and maxillofacial surgery, Nishter Institute of Dentistry, Multan from March 2010 to march 2012. A total of 15 patients of hemimandibulectomy were reconstructed by iliac bone alone or combined with rib bone graft. In 3 cases iliac bone was combined with rib bone graft. There were 6 [40%] male and 9[60%] females. Mean age was 23.86+2.69y [range 20 -30y]. There were no significant post operative complications. Reconstruction with iliac bone graft combined with rib graft is an excellent method of reconstruction in patients with mandibular defects