Document Detail


Modified iliac bone harvesting--morbidity and patients' experience.
MedLine Citation:
PMID:  19615585     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of the present retrospective study was to evaluate the postoperative morbidity and patients' satisfaction after harvesting a bicortical bone graft from the anterior iliac wing using a modified surgical technique. MATERIALS AND METHODS: Between 1996 and 2006, 36 patients underwent bicortical bone block harvesting procedures from the ilium with subsequent bone augmentation of the jaws under general anesthesia at the Department of Oral Surgery, Medical University Graz. A modification of the harvesting technique proposed by Tayapongsak et al was used. Of the 36 patients, 32 participated in the present retrospective study. The clinical trial was based on the evaluation of the clinical records, a follow-up examination of the donor site, and the patient's personal assessment of the course of therapy. RESULTS: Apart from 1 postoperative hematoma, 1 infected wound, and 1 postoperative seroma that had to be treated, no intra- or postoperative complications developed. At 3 to 14 days (mean 11.06) after the surgical procedure, the patients were free of pain. Gait disturbance was present for an average of 14 days. The clinical follow-up examination at the donor region was without any pathologic findings. The patients' personal assessment of the therapy course revealed high acceptance: 84% would agree to the same treatment if they had to choose, and 87% would recommend this treatment to other patients. On a pain scale of 1 to 10, the overall therapy course was assessed at an average of 1.77. CONCLUSIONS: Iliac bone grafts are the treatment of choice to reconstruct extensive maxillary defects. This retrospective evaluation revealed minor complications and morbidity and high patient acceptance, supporting its use.
Authors:
Nicole Falkensammer; Robert Kirmeier; Christine Arnetzl; Angelika Wildburger; Antranik Eskici; Norbert Jakse
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  67     ISSN:  1531-5053     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-20     Completed Date:  2009-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1700-5     Citation Subset:  AIM; D; IM    
Affiliation:
Department of Oral Surgery and Radiology, School of Dental Medicine, Medical University of Graz, Graz, Austria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Alveolar Ridge Augmentation / methods
Bone Transplantation
Drug Combinations
Electrocoagulation
Female
Follow-Up Studies
Gait Disorders, Neurologic / etiology
Gelatin Sponge, Absorbable / therapeutic use
Hematoma / etiology
Hemostasis, Surgical
Hemostatics / therapeutic use
Humans
Ilium / surgery*
Male
Middle Aged
Muscle Weakness / etiology
Pain Measurement
Palmitates / therapeutic use
Patient Satisfaction
Postoperative Complications
Postoperative Hemorrhage / etiology
Retrospective Studies
Seroma / etiology
Surgical Wound Infection / etiology
Tissue and Organ Harvesting / adverse effects*,  methods
Waxes / therapeutic use
Young Adult
Chemical
Reg. No./Substance:
0/Drug Combinations; 0/Hemostatics; 0/Palmitates; 0/Waxes; 8021-48-5/bone wax

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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