Department of Oral and Maxillofacial Surgery, Marmara University School of Dentistry, Istanbul, 34854, Turkey.
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Marmara, Basibuyuk Yolu 9/3 34854 Basibuyuk / Maltepe / Istanbul, Istanbul, 34854, Turkey.
Clin Oral Investig. 2024 Mar 22;28(4):226. doi: 10.1007/s00784-024-05613-6.
This retrospective cohort study aimed to identify the complications and risk factors associated with alveolar grafting using autologous mandibular ramus grafts, guided by the research question: What are the complications encountered in patients undergoing alveolar bone grafting using autologous mandibular ramus block and what are the risk factors associated with the development of these complications?
The study included 70 patients who underwent alveolar crest augmentation with autologous mandibular ramus block grafting. Intraoperative, early postoperative, and late postoperative complications were analyzed, as were various risk factors.
The results showed that the majority of patients had successful outcomes with minimal complications. Sex was found to significantly influence the visibility of the inferior alveolar nerve (IAN). Early postoperative complications were associated with IAN visibility and the use of a single screw for graft fixation. Late postoperative complications were significantly associated with the presence of infection.
The findings emphasize the importance of careful surgical techniques, infection prevention, and patient selection in minimizing complications.
This article may contribute to clinicians' and so patients' understanding of potential risk factors associated with over all ramus block grafting procedure. Based on this information, clinicians can also improve their ability to manage risk factors and associated complications and compare ramus block grafting with other alternatives to determine the best treatment approach for that particular patient.
本回顾性队列研究旨在通过研究问题来确定使用自体下颌支骨移植进行牙槽突植骨的并发症和相关风险因素：在接受自体下颌支骨块牙槽突植骨的患者中会遇到哪些并发症，以及这些并发症的发展与哪些风险因素相关？
本研究纳入了 70 例行自体下颌支骨移植牙槽嵴增高术的患者。分析了术中、术后早期和晚期的并发症，以及各种风险因素。
结果表明，大多数患者的手术结果良好，并发症较少。性别被发现显著影响下牙槽神经（IAN）的可见性。术后早期并发症与 IAN 可见性和单个螺钉用于移植固定有关。术后晚期并发症与感染的存在显著相关。
这些发现强调了在最小化并发症方面，仔细的手术技术、感染预防和患者选择的重要性。
本文可能有助于临床医生和患者了解与整体支骨移植术相关的潜在风险因素。基于这些信息，临床医生还可以提高管理风险因素和相关并发症的能力，并比较支骨移植与其他替代方法，以确定对特定患者的最佳治疗方法。
