Mandibular reconstruction with bone grafts

Persson, Gunnar; Åstrand, Per; Lundgren, Anders; Stenström, Sten

doi:10.1016/s0300-9785(78)80067-2

Cited by 16 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With extraoral approach the risk of contamination from the oral cavity is lower; however, when combined approaches are used, a “watertight” seal intraoral closure should be achieved 89101112. In this review, many more cases were done via an extraoral than an intraoral approach and this may have contributed to the high success rate 4567891011121314151617181920212223…”

Section: Discussionmentioning

confidence: 99%

“…Metaregression analyses could not be performed because insufficient data on the potential prognostic factors were available. Some studies used infection, severe resorption and bony union1516171819202122 as their criteria for success while some used infection, gross resorption and bony continuity/stability,8916 as their criteria, to ensure uniformity, it would be useful to clearly define and quantify the criteria for success/failure. We therefore, recommend the following; At 1 year follow-up, on clinical evaluation, infection must have been fully controlled and extraoral/intraoral wounds completely closed.…”

Section: Discussionmentioning

confidence: 99%

“…Prevalence rates of the defects are not available in literature probably because of diverse and multiple etiologies. Reconstruction of mandibular continuity defects is a great challenge to surgeons because of the form and biomechanical functions of the bone 151617181920212223. Currently, the state of the art technique to reconstruct this type of defects is vascularized bone grafting (VBG) because it is able to provide immediate blood supply to the bone graft and a soft tissue paddle for external cover and intraoral lining.…”

mentioning

confidence: 99%

“…Defects up to 6cm long (such as those extending from the first premolar to the third molar), are regarded as short defects, while defects longer than 6cm, are considered long defects. Several articles described the use of NVBG for reconstruction of the mandibular defects ranging from 3 to 14cm34567891011121314151617181920212223242526 and achieved success rates of 38% to 100% 123. Most articles reported their outcomes for a period of 6–12 months, evaluation of long-term outcomes (> 1year) is useful to assess the survival of NVBG for the treatment of mandibular bone defects.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Reconstruction of Continuity Defects of the Mandible with Non-vascularized Bone Grafts. Systematic Literature Review

Akinbami

2016

Craniomaxillofacial Trauma & Reconstruction

View full text Add to dashboard Cite

Background The use of NVBG for mandibular defects seems to be gradually giving way for more advanced reconstructive techniques but it has the advantages of shorter operating time and lesser amount of blood loss. The aim of this study was to review the available data on the success and failure rates of use of NVBG and factors associated with failure. Method Studies published from 1978 to 2014 regarding the use of NVBG were searched. Most important information was graft success and failure outcomes. Information on graft success with particular focus on large defects was extracted and the quality of papers was rated. Defects > 6cm were considered long defects. Results Twenty publications were included in this review. The quality of the studies was low and there was high heterogeneity. All articles reported high graft success rates ranging from 67 to 100%. Success in defects > 6cm was considerable, the range was 72–100%. Three main factors were associated with failure; these were defect length, fixation method and infection. Infection contributed the highest complication rate which was 48.2%. Conclusion NVBG seems to be appropriate for mandible reconstruction when there is vascular recipient bed and sufficient soft tissue cover and mucosal lining are achievable.

show abstract