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Rivista Italiana di Chirurgia Maxillo-Facciale 2001 August;12(2):97-102

language: English

Sinus graft: trephining iliac crest in local anesthesia

Sembronio S., Robiony M. *, Costa F., Polini F., Politi M. **

From ­the Department of Maxillo-Facial Surgery Faculty of Medicine, University of Udine, Udine, Italy


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Background. The ­authors pro­pose ­the ­use of tre­phine to har­vest ­bone ­from ­the ­iliac ­crest to per­form ­large ­sinus ­grafts in ­local anes­the­sia.
Meth­ods. Ten ­patients under­went ­the sur­gi­cal pro­ce­dure ­and ­twelve ­sinus ­grafts ­were per­formed. Morbidity ­from ­the ­donor ­site, ­the ­amount of ­bone har­vest­ed ­and ­the res­to­ra­tion of max­il­lary ­sinus ­were ana­lyzed.
Results. The ­results ­show ­that ­the inci­dence of mor­bid­ity ­was ­very ­low ­and ­the ­amount of ­bone har­vest­ed by tre­phine ­was ­more ­than suf­fi­cient to per­form ­all ­the ­sinus ­grafts.
Conclusions. The pro­ce­dure is sim­ple ­and ­easy to per­form ­and ­can be uti­lized ­for out­pa­tients in ­day sur­gery. A ­good ­increase of ­sinus ­floor ­was ­obtained ­and ­the ­implants ­were insert­ed in ­the pos­te­ri­or max­il­la.

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