[Mandibular reconstruction with a free avascular iliac crest transplant].
119 avascular osseous transplants from the iliac crest were used for mandibular reconstruction. In case of irradiation we prepared the region of transplantation by using myocutaneous flaps. We lost 2.5% of our transplants. Analysing the orthopantomogram after a special method regarding reproducibility, we found a loss of height of the transplant of about 30% in the middle term. During rigid fixation of the transplant in the first 3 month, there was the biggest loss of height. Transplants ending free in the region of the TMJ showed less consistency than transplants interposed between original mandibular bone.
Niederhagen
B
B
Klinik und Poliklinik für MKG-Chirurgie der Universität Bonn.
Hültenschmidt
D
D
Krumholz
K
K
Krüger
E
E
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000601:surgery; D008337:Mandibular Fractures / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*
Unterkieferrekonstruktion mit freiem avaskulärem Beckenkammtransplantat.