Nonvascularized Bone Grafts for Reconstruction of Segmental Mandibular Defects: Is Length of Graft a Factor of Success?

Marechek, Andrei; AlShare, Ahmad; Pack, Sean; Demko, Catherine A.; Quereshy, Faisal A.; Baur, Dale A.

doi:10.1016/j.joms.2019.05.008

Cited by 27 publications

(24 citation statements)

References 22 publications

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“…The traditional idea that a vascularized bone graft should be used for defects larger than 6 cm stemmed from reports by Pogrel and Foster in 1997 and 1999, respectively. 19,20 Since then, various studies have reported results in contrast to their findings. Marechek et al 19 recently reported that the failure rate did not differ between the use of a nonvascularized bone graft for defects less than and greater than 6 cm.…”

Section: E14mentioning

confidence: 97%

“…19,20 Since then, various studies have reported results in contrast to their findings. Marechek et al 19 recently reported that the failure rate did not differ between the use of a nonvascularized bone graft for defects less than and greater than 6 cm. Schlieve et al 20 reported a 100% success rate using nonvascularized bone grafts in 20 patients with mandibular defects (average defect size, 6.43 cm).…”

Section: E14mentioning

confidence: 97%

See 1 more Smart Citation

Is Reconstruction of Large Mandibular Defects Using Bioengineering Materials Effective?

Melville

Tran

Bhatti

et al. 2020

Journal of Oral and Maxillofacial Surgery

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Section: E14mentioning

confidence: 97%

Section: E14mentioning

confidence: 97%

Is Reconstruction of Large Mandibular Defects Using Bioengineering Materials Effective?

Melville

Tran

Bhatti

et al. 2020

Journal of Oral and Maxillofacial Surgery

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“…Vascularized bone grafts, another valuable option [ 26 , 27 ], are usually harvested with a vascular pedicle, which is supposed to accelerate graft incorporation [ 25 , 26 , 28 ]. The autologous iliac crest is considered the best source of non-vascularized tricortical grafting, while the fibula is the best choice for mono- or bicortical vascularized grafts [ 29 , 30 , 31 ].…”

Section: Indications and Surgical Techniquementioning

confidence: 99%

Autologous Bone Grafting in Trauma and Orthopaedic Surgery: An Evidence-Based Narrative Review

Migliorini

Cuozzo

Torsiello

et al. 2021

JCM

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Autologous bone grafting is common in trauma and orthopaedic surgery. Both the Reamer Irrigator Aspirator (RIA) and Iliac Crest Bone Graft (ICBG) aim to obtain autologous bone graft. Although the process of harvesting a bone graft is considered simple, complications may occur. This study examined morbidity and pain at the donor site, blood loss, and iatrogenic fractures, comparing RIA and ICBG. The source of the autologous bone graft, the alternative graft sites, and the storage modalities of the harvested bone marrow were also evaluated. In May 2021, PubMed, Embase, Scopus, and Google Scholar were accessed, with no time constraints. RIA may produce greater blood loss, but with less morbidity and complications, making it a potential alternative source of bone grafting.

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“…• Size of the defect -As previously mentioned, 5 cm is the maximum defect size that can be reconstructed with NVBG. Beyond 5 cm, a graft needs its own blood supply in the form of a vascularized graft as NVBG depends solely on recipient site vasculature [15,16].…”

Section: Factors To Be Considered Before Bone Graftingmentioning

confidence: 99%

Commonly Utilized Non Vascularised Bone Grafts in Maxillofacial Reconstruction

Anand¹,

Panwar²

2021

Surgical Management of Head and Neck Pathologies

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Surgical defects created secondary to oncological resection are often debilitating for patients, both functionally and esthetically. Meticulous surgical planning and intricate knowledge of the vital anatomical structures are essential for understanding the biology of reconstruction in the craniofacial skeleton. Unlike reconstructive procedures in other areas where the functional components may be given priority, reconstruction of the face requires a delicate balance between the esthetic and functional units. Despite new developments, autogenous grafts have frequently remained a reliable alternative that withstood the test of time. Non-vascularized bone grafts are often a subset of autogenous grafts, where the graft solely depends on the recipient’s vascularity and is indicated in defect sizes of less than 6 cm.

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Nonvascularized Bone Grafts for Reconstruction of Segmental Mandibular Defects: Is Length of Graft a Factor of Success?

Cited by 27 publications

References 22 publications

Is Reconstruction of Large Mandibular Defects Using Bioengineering Materials Effective?

Is Reconstruction of Large Mandibular Defects Using Bioengineering Materials Effective?

Autologous Bone Grafting in Trauma and Orthopaedic Surgery: An Evidence-Based Narrative Review

Commonly Utilized Non Vascularised Bone Grafts in Maxillofacial Reconstruction

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