Non-vascularized autogenous bone grafts for reconstruction of maxillofacial osseous defects

Waseem Ahmed, Muhammad Adil Asim, Afeefa Ehsan, Qalab Abbas

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

Objective: To determine the outcomes of non-vascularized bone grafts for reconstruction of maxillofacial defects. Study Design: Case series. Place and Duration of Study: Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi, from January 2013 to December 2015. Methodology: Descriptive analyses of 30 patients, who underwent maxillofacial reconstruction with non-vascularized bone grafts, were conducted. The demographic information, diagnosis, and type of graft harvested to reconstruct the defect were statistically analyzed. Outcomes of reconstruction with non-vascularized bone grafts were analyzed in terms of mouth opening, success of dental rehabilitation, and postoperative complications, i.e. surgical site infection and hardware loosening. Results: A total of 30 patients ranging from 8 to 60 years (33.57 ±14.74 years) had maxillofacial defects reconstructed mostly due to gunshot injuries, followed by post-resection defects. Overall 15 cases (50%) were reconstructed with iliac crest cortico-cancellous bone graft, 11 cases (36.7%) with rib; while in four cases (13.3%), costochondral graft was used for reconstruction. In 26 cases (86.7%), graft was found to be successful. In three cases, re-operation for onlay bone graft was required to provide optimal dental rehabilitation; while in just one case, postoperative surgical site infection was observed. Conclusion: Non-vascularized bone grafts provide a reasonable and effective modality for reconstruction of maxillofacial defects.

Original languageEnglish
Pages (from-to)17-21
Number of pages5
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Volume28
Issue number1
DOIs
Publication statusPublished - 1 Jan 2018
Externally publishedYes

Keywords

  • Autogenous grafts
  • Guided bone regeneration
  • Maxillofacial osseous defect
  • Maxillofacial reconstruction
  • Maxillomandibular fixation
  • Non-vascularized bone grafts

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