title: Prefabricated iliac crest transplant.
abstract: OBJECTIVE
  Our aim was to augment the extremely atrophic mandibular alveolar crest with a pedicled transplant as the best option for a satisfactory preprosthetic outcome.
  
  
  METHODS
  After computed tomography of the mandible, a model was milled for 6 patients. The iliac crest transplant with its vascular pedicle was harvested and, after preliminary preparation, fixed to the model. The transplant was then placed in the axilla. After 3 months, the graft was removed and fixed to the mandible.
  
  
  RESULTS
  The prefabricated transplant fit exactly in all 6 patients. The length of the pedicle and coverage with the newly developed alveolar mucous membrane were satisfactory. The grafts allowed prosthetic reconstruction with good functional outcomes. No bone loss was observed during 7 years of follow-up. Additionally, indocyanine green angiography showed good perfusion in 4 patients after 6 months.
  
  
  CONCLUSIONS
  The results suggest that carefully prefabricated pedicled transplants can augment an atrophied mandibular alveolar crest.
authors.affiliation: Department of Oral and Cranio-Maxillofacial Surgery, Medical University of Graz, Graz, Austria. gschultes@aol.com
authors.forename: Günter
authors.initials: G
authors.lastname: Schultes
authors.forename: Hans
authors.initials: H
authors.lastname: Kärcher
authors.forename: Lucia
authors.initials: L
authors.lastname: Gerzanic
mesh_terms: D000328:Adult; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D001284:Atrophy; D001365:Axilla / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods* / Q000473:pathology; D017076:Computer-Aided Design; D003758:Dental Implantation, Endosseous / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000601:surgery*; D021621:Imaging, Three-Dimensional / Q000379:methods; D008297:Male; D008334:Mandible / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D008953:Models, Anatomic; D009061:Mouth Mucosa / Q000601:surgery; D009092:Mucous Membrane / Q000637:transplantation; D013524:Surgical Flaps / Q000098:blood supply / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D060053:Transplant Donor Site / Q000601:surgery*; D016896:Treatment Outcome