Ataç Mustafa Sancar, Kilinç Yeliz, Bozkaya Süleyman
From the Department of Oral and Maxillofacial Surgery, Gazi University Faculty of Dentistry, Ankara, Turkey.
J Craniofac Surg. 2014 Jul;25(4):1418-21. doi: 10.1097/SCS.0000000000000877.
Autogenous bone harvest from the anterior ilium is a common procedure in the surgical field. In the current study, a retrospective analysis was performed regarding the bone graft harvesting techniques from the anterior ilium. The retrospective analysis with a 1-year period included 16 patients who had undergone iliac bone grafting for oral and maxillofacial reconstruction. Medial and lateral approaches were assessed. No major complications were observed. One patient undergoing medial approach and 2 patients undergoing lateral approach experienced gait disturbances at the postoperative period. Harvesting bone from the anterior ilium did not result in greater donor site morbidity or complications in the early term. The medial approach revealed an earlier recovery time than the lateral one. Anterior ilium is a good choice for the reconstruction of jaws, but donor site morbidity remains a problem and should be considered in the treatment plan.
从髂前嵴自体取骨是外科领域的常见手术。在本研究中，对从髂前嵴取骨移植的技术进行了回顾性分析。为期1年的回顾性分析纳入了16例因口腔颌面重建接受髂骨移植的患者。评估了内侧入路和外侧入路。未观察到重大并发症。1例接受内侧入路的患者和2例接受外侧入路的患者在术后出现步态障碍。早期从髂前嵴取骨未导致更大的供区并发症或发病率。内侧入路的恢复时间比外侧入路早。髂前嵴是颌骨重建的良好选择，但供区并发症仍然是一个问题，应在治疗方案中予以考虑。
