title: Donor site morbidity of anterior iliac crest and calvarium bone grafts: A comparative case-control study.
abstract: OBJECTIVE
  Notwithstanding its donor site morbidity, autogenous bone graft harvesting is still considered the gold standard for cases of extreme resorption of the alveolar ridge. The aim of this study was to assess donor site morbidity of calvarium and anterior iliac crest harvesting.
  
  
  METHODS
  A total of 27 edentulous patients who had undergone calvarial bone harvesting were matched with 27 edentulous patients in which anterior iliac crest bone was harvested. All patients had been treated between March 2011 and December 2013. Patients were matched according to age, sex, and duration of follow-up. Donor site morbidity was assessed by medical records, patient questionnaires, and physical examination. Patients were recalled to assess persisting morbidity of the harvesting procedure.
  
  
  RESULTS
  Exposure of the dura occurred in three patients in the calvarial group. Postoperative pain (based on a visual analog scale) after harvesting was significantly higher in the anterior iliac crest group. Scars were significantly longer and contours deficits were significantly more prominent after calvarial harvesting, although not bothersome to the patients. Long-term pain was negligible in both groups, and satisfaction with the procedure did not differ.
  
  
  CONCLUSIONS
  Both harvesting techniques were accompanied by low long-term donor site morbidity and high patient satisfaction.
authors: Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands; Department of Oral and Maxillofacial Surgery, Refaja Ziekenhuis Stadskanaal, P.O. Box 109, 9500 AC Stadskanaal, The Netherlands; Department of Oral and Maxillofacial Surgery, Scheper Ziekenhuis Emmen, P.O. Box 30.002, 7800 RA Emmen, The Netherlands. Electronic address: kuikkarel@gmail.com.
authors: Karel
authors: K
authors: Kuik
authors: Department of Oral and Maxillofacial Surgery, Refaja Ziekenhuis Stadskanaal, P.O. Box 109, 9500 AC Stadskanaal, The Netherlands. Electronic address: t.f.putters@gmail.com.
authors: Thomas F
authors: TF
authors: Putters
authors: Department of Oral and Maxillofacial Surgery, Scheper Ziekenhuis Emmen, P.O. Box 30.002, 7800 RA Emmen, The Netherlands. Electronic address: schortinghuisj@gmail.com.
authors: Jurjen
authors: J
authors: Schortinghuis
authors: Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands. Electronic address: b.van.minnen@umcg.nl.
authors: Baucke
authors: B
authors: van Minnen
authors: Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands. Electronic address: a.vissink@umcg.nl.
authors: Arjan
authors: A
authors: Vissink
authors: Department of Oral and Maxillofacial Surgery, University of Groningen, University Medical Center Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands. Electronic address: g.m.raghoebar@umcg.nl.
authors: Gerry M
authors: GM
authors: Raghoebar
mesh_terms: D016301:Alveolar Bone Loss / Q000601:surgery; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000009:adverse effects* / Q000379:methods; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007085:Ilium / Q000293:injuries / Q000601:surgery; D007575:Jaw, Edentulous; D008297:Male; D012886:Skull; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods; D060053:Transplant Donor Site / Q000601:surgery; D014182:Transplantation, Autologous
keywords: Bone grafting; Calvarium; Complications; Iliac crest; Maxilla; Morbidity