title: Bare bone graft with vascularised iliac crest for mandibular reconstruction.
abstract: BACKGROUND
  "Bare bone graft" with a vascularised iliac crest is a procedure involving no soft tissue for intraoral lining, and the intraoral defect is covered with epithelial cells through secondary healing of the exposed bone.
  
  
  METHODS
  A vascularised iliac crest flap is transferred to a segmental mandibular defect intraorally in the position of the osteotomized stump upwardly. Granulation tissue is usually observed on the stump of the bone graft about 1 week after surgery. When sufficient granulation is observed after approximately 4 weeks, "resurfacing" is performed to prevent interference of hypergranulation tissue with epithelization. Resurfacing involves wiping the granulation tissue from the surface of the bone and covering with a plastic prosthesis fitted to the alveolus.
  
  
  RESULTS
  A total of 11 patients underwent bare bone graft with a vascularised iliac crest. Resurfacing was performed at an average of 2.1 times for each patient. All wounds in the oral cavity were completely epithelialized from 2 weeks to 3 months after surgery. Complications with the recipient side occurred in four patients.
  
  
  CONCLUSIONS
  Bare bone graft with the iliac crest is one favourable option for mandibular reconstruction utilising the particular shape of the bone without the attached soft tissue.
authors.affiliation: Department of Plastic Surgery, Jichi Medical University, Yakushiji 3311-1, Shimotsuke, 329-0498 Tochigi, Japan. fwkc8662@nifty.com
authors.forename: Shunji
authors.initials: S
authors.lastname: Sarukawa
authors.forename: Tadahide
authors.initials: T
authors.lastname: Noguchi
authors.forename: Ichiro
authors.initials: I
authors.lastname: Oh-iwa
authors.forename: Ataru
authors.initials: A
authors.lastname: Sunaga
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Uda
authors.forename: Mikio
authors.initials: M
authors.lastname: Kusama
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sugawara
mesh_terms: D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000009:adverse effects / Q000379:methods*; D003094:Collagen; D004848:Epithelium / Q000502:physiology; D005260:Female; D006097:Granulation Tissue / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000098:blood supply / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery*; D008337:Mandibular Fractures / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D010025:Osteoradionecrosis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D013524:Surgical Flaps / Q000009:adverse effects / Q000098:blood supply; D014945:Wound Healing
chemical_list: D003094:Collagen