Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

Abstract

Aim: Autogenous iliac crest bone graft is frequently used in immediate reconstruction of post ablation defect of benign mandibular pathologies. The aim of this study was to conduct a systematic literature review on the complication and failure rates with this technique and factors associated with failure.

Methods: The initial literature search in PubMed and Cochrane databases identified 915 articles.

Results: Of these, 7 were included in the final review. The majority of the studies were retrospective in nature. These articles encompassed 127 procedures with non-vascularized iliac crest bone graft; with complication rate of 13.3% and failure rate of 3.1%, most complications did not result in failure. All failures were due to infection with no main factor associated with failure.

Conclusion: Use of non-vascularized iliac crest bone graft for immediate mandibular reconstruction appears to be associated with low complication and failure rates in carefully selected cases.

Keywords

Benign pathology / mandibular reconstruction / bone graft / iliac crest / non-vascularized / immediate reconstruction

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