Mahran, H., Ali, K., Almanie, L. (2022). Outcome of Mandibular Reconstruction Using Non-Vascularized Block Iliac Bone Graft. The Egyptian Journal of Plastic and Reconstructive Surgery, 46(3), 265-272. doi: 10.21608/ejprs.2022.254729
Hamada Mahran; Khaja Saad Ali; Lina Sulaiman Almanie. "Outcome of Mandibular Reconstruction Using Non-Vascularized Block Iliac Bone Graft". The Egyptian Journal of Plastic and Reconstructive Surgery, 46, 3, 2022, 265-272. doi: 10.21608/ejprs.2022.254729
Mahran, H., Ali, K., Almanie, L. (2022). 'Outcome of Mandibular Reconstruction Using Non-Vascularized Block Iliac Bone Graft', The Egyptian Journal of Plastic and Reconstructive Surgery, 46(3), pp. 265-272. doi: 10.21608/ejprs.2022.254729
Mahran, H., Ali, K., Almanie, L. Outcome of Mandibular Reconstruction Using Non-Vascularized Block Iliac Bone Graft. The Egyptian Journal of Plastic and Reconstructive Surgery, 2022; 46(3): 265-272. doi: 10.21608/ejprs.2022.254729
Outcome of Mandibular Reconstruction Using Non-Vascularized Block Iliac Bone Graft
1The Departments of General Surgery, Faculty of Medicine, Assiut University, Egypt and Maxillofacial Surgery, King Fahd Specialist Hospital, Buraydah, Saudi Arabia
2The Department of Maxillofacial Surgery, King Fahd Specialist Hospital, Buraydah, Saudi Arabia**
3The Department of Maxillofacial Surgery, King Fahd Specialist Hospital, Buraydah, Saudi Arabia
Abstract
Objectives: The purpose of this study was to investigate the degree of success of nonvascularized block iliac bone graft for mandibular reconstruction, one year post-operative. Methods: Sixty-nine patients with segmental mandibular resection, reconstructed by nonvascularized iliac bone grafts, were evaluated both clinically and radiologically one year after mandibular reconstruction. Results: Thirty-five patients showed complete bone healing, thirty patients showed bone healing with complications, and four patients showed total graft necrosis. Conclusion: Non-vascularized iliac bone graft seems to be a reliable reconstructive option for mandibular defects up < br />to 7cm in size.
1- Johannes T.M., Robert J.J., Ellen M. and Ron K.: Nonvascularized bone graft for segmental reconstruction of the mandible a reappraisal. J. Oral Maxillofacial Surg., 67: 1446-52, 2009. 2- Akinbami B.O.: Reconstruction of continuity defects of the mandible with nonvascularized bone grafts. Systematic literature review. Craniomaxillofac. Trauma Reconstr., 9: 195-205, 2016. 3- Agrawal A., Mehrotra D., Mohammad S., Singh R.K., Kumar S. and Pal U.S.: Randomized control trial of nonvascularized fibular and iliac crest graft for mandibular reconstruction. J. Oral Biol. Craniofac. Res., 2: 90-6, 2012. 4- Hanasono M.M.: Reconstructive surgery for head and neck cancer patients. Adv. Med., 2014: 795483, 2014. 5- Akbay E. and Aydogan F.: Reconstruction of isolated mandibular bone defects with nonvascularized corticocancellous bone autograft and graft viability. Auris Nasus Larynx, 41: 56-62, 2014. 6- Verrier S., Alini M., Alsberg E., Buchman S.R., Kelly D., Laschke M.W., Menger M.D., Murphy W.L., Stegemann J.P., Schütz M., Miclau T., Stoddart M.J. and Evans C.: Tissue engineering and regenerative approaches to improving the healing of large bone defects. Eur. Cell Mater, 32: 87-110, 2016. 7- August M., Tompach P. and Chang Y.: Factors influencing the long-term outcome of mandibular reconstruction. J. Oral Maxillofac. Surg., 58: 731-737, 2000. [PubMed] [Google Scholar]. 8- Pogrel M.A., Podlesh S. and Anthony J.P.: A comparison of vascularized and non-vascularized bone grafts for reconstruction of mandibular continuity defects. J. Oral Maxillofacial Surg., 55: 1200-1206, 1997. [PubMed] [Google Scholar]. 9- Van Gemert J.T.M., van Es R.J.J., Van Cann E.M. and Koole R.: Nonvascularized bone grafts for segmental reconstruction of the mandible-a reappraisal. J. Oral Maxillofacial Surg., 67: 1446-1452, 2009. [PubMed] [Google Scholar]. 10- Boyd J.B., Mulholland R.S. and Davidson J.: The free flap and plate in oromandibular reconstruction: Longterm review and indications. Plast. Reconstr. Surg., 95: 1018- 1028, 1995. [PubMed] [Google Scholar]. 11- Mehta R.P. and Deschler D.G.: Mandibular reconstruction in 2004: An analysis of different techniques. Curr. Opin. Otolaryngol. Head Neck Surg., 12: 288-93, 2004. 12- Kurz L.T., Garfin S.R. and Booth R.E. Jr.: Harvesting autogenous iliac bone grafts. A review of complications and techniques. Spine (Phila Pa 1976). Dec. 14 (12): 1324-31, 1989. 13- Obiechina A.E., Ogunlade S.O., Fasola A.O. and Arotiba J.T.: Mandibular segmental reconstruction with iliac crest. West Afr. J. Med., 22; (1): 46-9, 2003. 14- Bai X.F., Wushou A., Zheng J. and Li G.: An alternative approach for mandible reconstruction. J. Craniofac. Surg., Mar. 24 (2): e195-8, 2013. 15- Guerrier G., Alaqeeli A., Al Jawadi A., Foote N., Baron E. and Albustanji A.: Reconstruction of residual mandibular defects by iliac crest bone graft in warwounded Iraqi civilians, 2006-2011. Br. J. Oral Maxillofac. Surg., Jul., 53 (6): e27-31, 2015. 16- Akbay E. and Aydogan F.: Reconstruction of isolated mandibular bone defects with non-vascularized corticocancellous bone auto-graft and graft viability. Auris Nasus Larynx, 41: 65-62, 2014. 17- Holtz G.: Reconstruction of mandibular discontinuity defects with delayed non-vascularized free iliac crest bone grafts and endosseous implants: A clinical report. J. Prosthet Dent, 76: 350-5, 1996. 18- Foster R.D., Anthony J.P., Sharma A. and Pogrel M.A.: Vascularized bone flaps versus non-vascularized bone grafts for mandibular reconstruction: An outcome analysis of primary bony union and endosseous implant success. Head Neck, 21: 66-71, 1999. 19- Maurer P., Eckert A.W., Kriwalsky M.S. and Schubert J.: Scope and limitations of methods of mandibular reconstruction: A long-term follow-up. Br. J. Oral Maxillofac. Surg., 48: 100-4, 2010. 20- Gadre P.K., Ramanojam S., Patankar A. and Gadre K.S.: Nonvascularized bone grafting for mandibular reconstruction: myth or reality? J. Craniofac. Surg., 22: 1727-35, 2011. 21- Vu D.D. and Schmidt B.L.: Quality of life evaluation for patients receiving vascularized versus nonvascularized bone graft reconstruction of segmental mandibular defects. J. Oral Maxillofac. Surg., 66: 1856-1863, 2008. 22- Mooren R.E., Merkx M.A., Kessler P.A., Jansen J.A. and Stoelinga P.J.: Reconstruction of the mandible using preshaped 2.3-mm titanium plates, autogenous cortical bone plates, particulate cancellous bone, and platelet-rich plasma: A retrospective analysis of 20 patients. J. Oral Maxillofac Surg., Oct. 68 (10): 2459-67, 2010. 23- Ndukwe K.C., Aregbesola S.B., Ikem I.C., Ugboko V.I., Adebiyi K.E., Fatusi O.A., et al.: Reconstruction of mandibular decfects using nonvascularized autogenous bone graft in Nigerians. Niger J. Surg., 20: 87-91, 2014. 24- El-Sheikh M.M., Zeitoun I.M. and Medra A.M.: The split rib bundle graft in mandibularreconstruction. J. Craniofac. Surg., 20: 326-332, 1992. 25- Chiapasco M., Colletti G., Romeo E., Zaniboni M. and- Brussati R.: Long-term results of mandibular reconstruction with autogenous bone grafts and oral implants after tumor resection. Clin. Oral Implants Res., 19: 1074-1080, 2008. 272 Vol. 46, No. 3 / Mandibular Reconstruction Using Non-Vascularized Block Iliac Bone Graft 26- Handschel J., Naujoks C., Langenbach F., Berr K., Depprich R.A., Ommerborn M.A., Kubler N.R., Brinkmann M., Kogler G. and Meyer U.: Comparison of ectopic bone formation of embryonic stem cells and cord blood stem cells in vivo. Tissue Eng. Part A, 16: 2475-2483, 2010