Amiya Agrawal1, Divya Mehrotra2, Shadab Mohammad2, R K Singh2, Santhosh Kumar3, U S Pal4. 1. Consultant Oral & Maxillofacial Surgeon, India. 2. Professor, Department of Oral & Maxillofacial Surgery, Faculty of Dental Sciences,India. 3. Associate Professor, Department of Orthopaedic Surgery, India. 4. Associate Professor, Department of Oral & Maxillofacial Surgery, King George's Medical University, Lucknow, UP, India.
Abstract
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. CONCLUSION: Non-vascularized fibular bone graft is as better as iliac crest for reconstruction of mandibular defects of optimal length.
RCT Entities:
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. CONCLUSION: Non-vascularized fibular bone graft is as better as iliac crest for reconstruction of mandibular defects of optimal length.