A two-year audit of non-vascularized iliac crest bone graft for mandibular reconstruction: technique, experience and challenges.
10.5125/jkaoms.2014.40.6.272
- Author:
Kelvin OMEJE
1
;
Akinwale EFUNKOYA
;
Ibiyinka AMOLE
;
Benjamin AKHIWU
;
Daniel OSUNDE
Author Information
1. Department of Oral and Maxillofacial Surgery, Aminu Kano Teaching Hospital, Kano, Nigeria. akinefunks@gmail.com
- Publication Type:Original Article
- Keywords:
Mandibular resection;
Mandibular reconstruction;
Non-vascularized iliac crest bone graft
- MeSH:
Ameloblastoma;
Humans;
Jaw;
Jaw Cysts;
Mandibular Reconstruction*;
Medical Records;
Nigeria;
Osteogenesis, Distraction;
Osteosarcoma;
Retrospective Studies;
Tertiary Care Centers;
Transplants*
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2014;40(6):272-277
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: Non-vascularized iliac crest bone graft (NVIBG) is a known treatment option in mandibular reconstruction following jaw resection, but no documented review of patients treated with NVIBG exists for northern Nigeria. The experience and technique from a Nigerian tertiary hospital may serve as baseline data for comparison and improvement of practice for other institutions. MATERIALS AND METHODS: A retrospective review of medical records and patient case files from January 2012 to December 2013 was undertaken. All case files and other medical records of patients who had reconstruction with NVIBG for benign or malignant lesions with immediate or delayed reconstruction were selected for review. RESULTS: Twenty patients had mandibular reconstruction with NVIBG during the study period. Two patients were excluded because of incomplete medical records. Eighteen patients' (male=14, female=4) records were reviewed. Their ages ranged from 13 to 62 years (mean 26.0+/-10.6 years). Indications for NVIBG included jaw tumors (n=16; 88.3%), jaw cyst (n=1; 5.6%) and gunshot injury (n=1; 5.6%). Jaw tumors seen were ameloblastoma (n=15; 83.3%) and osteosarcoma (n=1; 5.6%). Treatments done were mandibular resection with condylar resection (n=7; 38.9%), mandibular segmental resection (n=10; 55.6%) and subtotal mandibulectomy (n=1; 5.6%). Patients' postoperative reviews and radiographs revealed good facial profile and continued bone stability up to 1 year following NVIBG. CONCLUSION: NVIBGs provide an acceptable alternative to vascularized bone grafts, genetically engineered bone, and distraction osteogenesis for mandibular reconstruction in resource-limited centers.
