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Updated: May 2, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Morbidity of harvesting the iliac crest inner cortical plate for orbital reconstruction
Liselotte H M Stam1, Alexandra G Kesselring2, Paul Promes2
1Medical Student, Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
Purpose:
To evaluate the morbidity associated with harvesting the inner cortical plate of the iliac crest for reconstruction of the orbit.
Patients And Methods:
In a retrospective case series study, the medical records of all patients who had undergone orbital reconstruction with bone from the iliac crest from January 2000 to April 2012 at the Erasmus Medical Centre were reviewed. A standardized surgical procedure for harvesting the inner cortical plate of the iliac crest was used for all patients. Gender, age at surgery, reconstruction type, donor site morbidity, and complications were assessed.
Results:
The medical records of 142 patients were reviewed. Six patients were excluded because of incomplete data. Thus, a total of 136 patients (91 males and 45 females) were included in the present study, and they underwent a total of 151 procedures to harvest the inner cortical plate of the iliac crest. Seven patients (4.6%) complained of pain lasting more than 2 weeks. In 6 of them, the pain had subsided within the next few weeks. Temporary sensibility disturbance was reported by 2 patients (1.3%), hematomas occurred in 2 patients (1.3%), and no wound infections developed.
Conclusions:
The data from the present study have shown that when the inner cortical plate of the iliac crest is harvested for orbital reconstruction, the morbidity will be temporary in all cases.
