PLACE OF THE ILIAC BONE GRAFT IN MAXILLO-FACIAL SURGERY (About 12 cases)

TITOU, ANOUAR; Choumi, Faiçal; Moumine, Mohammed

doi:10.21608/omx.2024.292569.1244

PLACE OF THE ILIAC BONE GRAFT IN MAXILLO-FACIAL SURGERY (About 12 cases)

Document Type : Case Report

Authors

¹ Department of Reconstructive and Maxillofacial Surgery, Hassan II University Hospital of Fez, Sidi Mohamed Ben Abdellah University, Faculty of Medicine, Pharmacy, and Dentistry, Fez, Morocco

² Department of Maxillofacial Surgery and Stomatology, Moulay Ismail Military Hospital, Sidi Mohamed Ben Abdellah University, Faculty of Medicine, Pharmacy, and Dentistry, Fez, Morocco

10.21608/omx.2024.292569.1244

Abstract

INTRODUCTION

Autologous bone grafts are frequently used in Stomatology and Maxillofacial Surgery to fill maxillofacial bone defects as well as pre-implant surgery.

The iliac bone is an important cortico-cancellous bone donor site allowing major bone reconstructions.

MATERIALS AND METHODS

We carried out a retrospective study, over a period of five years, extending from: January 2012 to December 2016, collecting 12 patients for whom iliac bone grafts were performed.

We studied the indications, the volume of graft harvesting and the postoperative follow-up.

RESULTS AND ANALYSIS

The main indications were the loss of bone substances of tumoral origin for 06 patients or 50%, traumatic for two patients or 16.66% and infectious in a single patient or 8.33%, two of gingivoperiosteoplasty, and in the remaining patient sequelae of the scleroderma was the origin of the loss of bone substance. The samples were very variable in size. In our series, we note two cases of graft resorption, which is 16.66%.

DISCUSSION

The harvesting of an iliac bone graft has a multitude of indications.

The choice of the iliac bone as the donor site for autologous bone grafts remains the golden rule in maxillofacial surgery, despite the morbidity that accompanies this donor site.

It is the most used technique in our department of Stomatology and Maxillofacial Surgery with satisfactory results.

CONCLUSION

Our results seem quite favorable and in agreement with a number of studies addressing the subject of iliac bone graft indication and the morbidity associated with this type of harvesting.

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