Revascularized iliac bone graft for mandibular reconstruction

Area of Science:

• Oral and Maxillofacial Surgery
• Anatomy
• Regenerative Medicine

Background:

• Reconstructing large mandibular defects presents significant challenges.
• Vascularized bone grafts are crucial for successful jaw reconstruction.
• The iliac bone is a potential source for these grafts.

Purpose of the Study:

• To anatomically investigate the vascular supply of the iliac bone.
• To evaluate the efficacy of revascularized iliac bone grafts in mandibular reconstruction.

Main Methods:

• Detailed anatomical study of iliac bone vascularization using microfil and Batson injection techniques.
• Clinical application of revascularized iliac bone grafts in six patients with extensive mandibular defects.

Main Results:

• The study confirmed and expanded upon existing anatomical knowledge of the iliac bone's blood supply.
• All six patients demonstrated successful reconstruction of mandibular defects using revascularized iliac bone grafts.

Conclusions:

• Revascularized iliac bone offers a reliable and effective option for reconstructing large mandibular defects.
• The detailed anatomical understanding supports the clinical application of this technique.