Randomized control trial of non-vascularized fibular and iliac crest graft for mandibular reconstruction.
BACKGROUND
Mandibular reconstruction of segmental defects caused by trauma or tumor excision is a challenge despite numerous advances in surgical and fixation techniques. Bone grafts from fibula or iliac crest are most frequently used to reconstruct mandible.


METHODS
A prospective randomized study was performed in 20 patients with benign mandibular pathology, to compare non-vascularized fibular and iliac crest bone graft for graft success, improvement in esthetics and function, and any associated donor site complications.


RESULTS
No significant difference in graft success, esthetics, function, or donor site complication were found between the two groups. Function improvement was significantly higher in fibula group as compared to iliac crest. An interesting finding of positive association between length of defect and complication was seen irrespective of the graft used, implying that patients with larger defects had higher complication rates.


CONCLUSIONS
Non-vascularized fibular bone graft is as better as iliac crest for reconstruction of mandibular defects of optimal length.
Consultant Oral & Maxillofacial Surgeon, India.
Amiya
A
Agrawal
Professor, Department of Oral & Maxillofacial Surgery, Faculty of Dental Sciences,India.
Divya
D
Mehrotra
Professor, Department of Oral & Maxillofacial Surgery, Faculty of Dental Sciences,India.
Shadab
S
Mohammad
Professor, Department of Oral & Maxillofacial Surgery, Faculty of Dental Sciences,India.
R K
RK
Singh
Associate Professor, Department of Orthopaedic Surgery, India.
Santhosh
S
Kumar
Associate Professor, Department of Oral & Maxillofacial Surgery, King George's Medical University, Lucknow, UP, India.
U S
US
Pal
Fibula; Iliac crest; Mandibular; Non-vascular; Reconstruction