Department of Oral and Maxillofacial Surgery at A & P Kyriakou Children's Hospital of Athens, Dental School, University of Athens, Greece.
J Craniomaxillofac Surg. 2010 Jun;38(4):293-302. doi: 10.1016/j.jcms.2009.10.004. Epub 2009 Nov 27.
Bone harvesting from the anterior iliac crest is commonly performed for grafting of maxillofacial defects.
To evaluate the morbidity of the procedure in children and adolescents with clefts or maxillofacial defects after tumour removal.
Between 2001 and 2008 36 consecutive patients who underwent iliac crest bone grafting using the trap-door technique were evaluated 6 months to 7 years postoperatively. Objective and subjective findings regarding the donor site mostly but also the recipient site were assessed by a standardized physical and radiological examination and a questionnaire. The donor site scar, neurosensory and motility function were evaluated clinically and osseous healing was investigated through radiographic examination of the ilium.
All respondent patients (29 out of the 36) tolerated the procedure well without major complications. Minor complications (mild pain and limp) were of short duration. No growth disturbances or contour deficits at the donor site were noted. No neurosensory or functional irregularities were detected. The donor site scar was considered aesthetically acceptable and most of the patients were satisfied with the functional outcome at the recipient site.
Bone harvesting from the anterior iliac crest was found to be a safe and reliable procedure for maxillofacial bone grafting in paediatric patients. No complications were encountered, the morbidity was minimal and the aesthetic outcome was good.
从前髂嵴取骨是颌面缺损修复中常用的供骨区。
评估儿童和青少年在因肿瘤切除后接受前髂嵴骨瓣移植手术的供区并发症。
2001 年至 2008 年间，36 例连续患者采用揭盖式技术从前髂嵴取骨，术后 6 个月至 7 年进行随访。通过标准化的体格检查和影像学检查以及问卷调查，评估供区（主要是，但也包括受区）的客观和主观发现。对供区的切口瘢痕、神经感觉和运动功能进行临床评估，并通过对髂骨的影像学检查来评估骨愈合情况。
所有接受调查的患者（36 例中有 29 例）均能很好地耐受手术，无重大并发症。小并发症（轻度疼痛和跛行）持续时间短。供区无生长障碍或轮廓缺陷。未发现神经感觉或功能异常。供区切口瘢痕被认为是美观的，大多数患者对受区的功能结果满意。
从前髂嵴取骨是儿童颌面骨移植中一种安全可靠的方法。没有发生并发症，发病率低，美学效果好。
