Mandibular reconstruction using split autogenous bone grafts

Area of Science:

• Oral and Maxillofacial Surgery
• Orthopedic Surgery
• Regenerative Medicine

Background:

• Mandibular defects often require complex reconstruction.
• Autogenous bone grafting is a common reconstructive method.
• Iliac crest bone is a frequently used donor site.

Observation:

• Split autogenous bone grafts from the iliac crest were used.
• Reconstruction targeted the body, angle, and ascending ramus of the mandible.
• Monitoring involved clinical, radiological, and radio-isotope scanning.

Findings:

• Early revascularization and consolidation of the grafts were observed.
• The healing pattern resembled that of one-piece cortico-cancellous grafts.
• Successful functional and aesthetic results were achieved.

Implications:

• This procedure offers a reliable method for mandibular reconstruction.
• The findings support the use of split iliac crest grafts for complex defects.
• Further studies can explore long-term outcomes and patient-specific modifications.