Sagittal split osteotomy of a vascularised iliac crest free flap to correct residual asymmetry and malocclusion in the reconstructed mandible.
Reconstruction of the mandible with a vascularised bone graft from the iliac crest based on the deep circumflex iliac artery is an established and reliable technique. We report two cases in which mandibular asymmetry followed reconstruction with such grafts and was corrected by sagittal split osteotomies.
Visavadia
B G
BG
Department of Oral and Maxillofacial Surgery, Maxillofacial Unit, Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex RH19 3DZ, UK. Drbhavin@aol.com
Heliotis
M
M
Sneddon
K J
KJ
Lavery
K M
KM
Brown
A E
AE
D000328:Adult; D001860:Bone Plates; D016025:Bone Transplantation / Q000009:adverse effects*; D005146:Facial Asymmetry / Q000209:etiology / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D006801:Humans; D007083:Iliac Artery; D019248:Jaw Fixation Techniques / Q000009:adverse effects*; D008297:Male; D008310:Malocclusion / Q000209:etiology / Q000601:surgery; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000601:surgery; D008337:Mandibular Fractures / Q000601:surgery; D019930:Mandibular Prosthesis Implantation / Q000009:adverse effects; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods*; D010019:Osteomyelitis / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply