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Mandibular Reconstruction With Block Iliac Crest: An Institutional Experience
Camila Camarini1, Guilherme Spagnol1, Manuela Monteiro Pinotti1
1Unit of Oral and Maxillofacial Surgery, Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Craniomaxillofacial Trauma & Reconstruction
|January 18, 2021
Summary
Mandibular reconstruction using iliac crest bone grafts had a 75.6% success rate. Patient medical history may impact postoperative complications, warranting further investigation in reconstructive surgery.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Bone Grafting Techniques
Background:
- Mandibular reconstruction presents significant challenges in clinical practice.
- Various reconstructive techniques exist, with patient-specific choices improving outcomes and quality of life.
Purpose of the Study:
- To evaluate the characteristics and complications associated with mandibular reconstruction.
- Focus on autogenous bone graft blocks from the iliac crest.
Main Methods:
- Retrospective analysis of 45 patients undergoing mandibular reconstruction with iliac crest bone grafts (2000-2014).
- Data collected: demographics, etiology, graft size, surgical approach, complications, comorbidities, and habits.
- Statistical analysis included ANOVA, chi-square, and Fisher exact tests (P < .05).
Main Results:
- The overall success rate for mandibular reconstruction was 75.6%.
- No statistically significant differences in complications were observed based on patient age, defect size, or surgical approach.
- Patient medical history emerged as a potential factor influencing postoperative complications.
Conclusions:
- Autogenous iliac crest bone grafting is a viable option for mandibular reconstruction.
- Patient medical history requires careful consideration due to its potential influence on postoperative complications.
- Further research is needed to clarify the relationship between comorbidities and reconstructive surgery outcomes.
