SPECIAL ARTICLE   

European Journal of Oral and Maxillofacial Surgery 2020 December;4(3):105-7

DOI: 10.23736/S2532-3466.20.00209-X

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Modified technique for harvesting anterior iliac crest bone graft for maxillary and mandibular reconstruction

Kayvan FATHIMANI ✉, Chun P. CHO, Arman YAZDAN, Rawle PHILBERT

Department of Oral and Maxillofacial Surgery, Lincoln Medical and Mental Health Center, Weill Cornell Medical College, New York, NY, USA

Autogenous anterior iliac crest bone grafting (AICBG) has been routinely utilized for reconstruction of maxillofacial defects, particularly in trauma and pathology.^1,2 Major benefits include harvesting high volumes of autogenous cancellous and cortical bone with very low surgical risks. There’s been reports of transitory complications; however, a wide range of patients recover expeditiously and transition to having a smooth recovery with good esthetic outcomes.³ Harvesting time can range typically from 60-90 minutes and utilization of a secondary harvesting surgical team can decrease overall operating time. There has been techniques describing a segmental approach using the posterior hip ⁴; however, our technique is unique in segmentalizing the anterior iliac crest, which is a more commonly used approach. We present a modified technique to harvesting anterior iliac crest bone grafts that have decreased overall reconstruction time and allowed for a more efficient and technique friendly method to reconstruct maxillofacial defects.

KEY WORDS: Ilium; Bone transplantation; Maxilla; Mandibular reconstruction; Oral surgery