Camarini Camila, Spagnol Guilherme, Pinotti Manuela Monteiro, do Canto Alan Motta, Maciel Fernando Alves, de Freitas Ronaldo Rodrigues
Unit of Oral and Maxillofacial Surgery, Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Craniomaxillofac Trauma Reconstr. 2020 Dec;13(4):285-289. doi: 10.1177/1943387520922763. Epub 2020 Aug 17.
Mandibular reconstruction is a challenge. Several reconstructive techniques are available, and the individualization of choice for each patient leads to better results and quality of life for the individual.
The aim of this study is to evaluate the characteristics and complications of cases submitted to mandibular reconstruction with autogenous bone graft block of the iliac crest.
Records of 45 patients undergoing mandibular reconstruction with autogenous bone graft block of the iliac crest were analyzed from January 2000 to December 2014. The data collected included age, gender, etiology and graft size, surgical approach, complications, comorbidities, and habits and addictions. Analysis of variance, chi-square test, and Fisher exact test were used for analysis of the variables with a significance level of < .05.
The success rate of the 45 charts analyzed was 75.6%. No statistical differences were found between age and presence of complications, between defect size and presence or absence of complications, and between type of surgical approach and presence or absence of complications.
According to our study, medical history may influence postoperative complications and require attention, though further studies should be performed to further elucidate the relationship between diseases and postoperative complications.
下颌骨重建是一项挑战。有多种重建技术可供选择，针对每位患者进行个体化选择可带来更好的治疗效果和个人生活质量。
本研究旨在评估采用自体髂骨块进行下颌骨重建病例的特点及并发症。
分析2000年1月至2014年12月期间45例行自体髂骨块下颌骨重建患者的病历。收集的数据包括年龄、性别、病因、植骨大小、手术入路、并发症、合并症以及习惯和成瘾情况。采用方差分析、卡方检验和Fisher精确检验对变量进行分析，显著性水平为<.05。
所分析的45份病历的成功率为75.6%。年龄与并发症的存在、缺损大小与并发症的有无、手术入路类型与并发症的有无之间均未发现统计学差异。
根据我们的研究，病史可能影响术后并发症，需要引起关注，不过还应开展进一步研究以进一步阐明疾病与术后并发症之间的关系。
