• Login
    View Item 
    •   Home
    • 1 Published Research and Commentary
    • Surgery
    • View Item
    •   Home
    • 1 Published Research and Commentary
    • Surgery
    • View Item
    Jan 17, 2021
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of MSFTitleAuthorsSubjectsPublisherJournalThis CollectionTitleAuthorsSubjectsPublisherJournal

    Reconstruction of Residual Mandibular Defects by Iliac Crest Bone Graft in War-wounded Iraqi civilians, 2006-2011

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    8. Guerrier - Reconstruction of ...
    Size:
    548.0Kb
    Format:
    PDF
    Download
    Authors
    Guerrier, G
    Alaqeeli, A
    Al Jawadi, A
    Foote, N
    Baron, E
    Albustanji, A
    Affiliation
    Epicentre, 8 rue Saint Sabin, 75011 Paris, France. Electronic address: guerriergilles@gmail.com.
    Issue Date
    2012-06-28
    
    Metadata
    Show full item record
    Journal
    British Journal of Oral & Maxillofacial surgery
    Abstract
    Our aim was to assess the long-term results, complications, and factors associated with failure of mandibular reconstructions among wounded Iraqi civilians with mandibular defects. Success was measured by the quality of bony union, and assessed radiographically and by physical examination. Failures were defined as loss of most or all of the bone graft, or inability to control infection. During the 6-year period (2006-2011), 35 Iraqi patients (30 men and 5 women, mean age 33 years, range 15-57) had residual mandibular defects reconstructed by iliac crest bone grafts. The causes were bullets (n=29), blasts (n=3), and shrapnel (n=3). The size of the defect was more than 5cm in 19 cases. Along the mandible the defect was lateral (n=14), central/lateral (n=5), lateral/central/lateral in continuity (n=6), and central in continuity (n=10). The mean time from injury to operation was 548 days (range 45-3814). All but 2 patients had infected lesions on admission. Bony fixation was ensured by locking reconstruction plates (n=27), non-locking reconstruction plates (n=6), and miniplates (n=2). Complications were associated with the reconstruction plate in 2 cases, and donor-site morbidity in 5. After a mean follow-up of 17 months (range 6-54), bony union was achieved in 28 (80%). The quality of the bone was adequate for dental implants in 23 cases (66%). Our results suggest that war-related mandibular defects can be reconstructed with non-vascularised bone grafts by multistage procedures with good results, provided that the soft tissues are in good condition, infection is controlled, and the method of fixation is appropriate. Further studies are needed to assess the role of vascularised free flaps in similar conditions.
    URI
    http://hdl.handle.net/10144/302757
    DOI
    10.1016/j.bjoms.2012.06.003
    PubMed ID
    22748406
    Language
    en
    ISSN
    1532-1940
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.bjoms.2012.06.003
    Scopus Count
    Collections
    Surgery

    entitlement

     
    DSpace software (copyright © 2002 - 2021)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.