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SHR Neuro Cancer Cardio Lipid Metab Microb

Schultes, G; Kärcher, H; Gerzanic, L.
Prefabricated iliac crest transplant.
J Oral Maxillofac Surg. 2013; 71(2):428-432 Doi: 10.1016/j.joms.2012.06.005
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Leading authors Med Uni Graz
Schultes Günter
Co-authors Med Uni Graz
Gerzanic Lucia
Kärcher Hans
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Abstract:
Our aim was to augment the extremely atrophic mandibular alveolar crest with a pedicled transplant as the best option for a satisfactory preprosthetic outcome. After computed tomography of the mandible, a model was milled for 6 patients. The iliac crest transplant with its vascular pedicle was harvested and, after preliminary preparation, fixed to the model. The transplant was then placed in the axilla. After 3 months, the graft was removed and fixed to the mandible. The prefabricated transplant fit exactly in all 6 patients. The length of the pedicle and coverage with the newly developed alveolar mucous membrane were satisfactory. The grafts allowed prosthetic reconstruction with good functional outcomes. No bone loss was observed during 7 years of follow-up. Additionally, indocyanine green angiography showed good perfusion in 4 patients after 6 months. The results suggest that carefully prefabricated pedicled transplants can augment an atrophied mandibular alveolar crest. Copyright © 2013 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Alveolar Ridge Augmentation - methods
Atrophy -
Axilla - surgery
Bone Transplantation - methods Bone Transplantation - pathology
Computer-Aided Design -
Dental Implantation, Endosseous - methods
Female -
Follow-Up Studies -
Humans -
Ilium - surgery
Imaging, Three-Dimensional - methods
Male -
Mandible - pathology Mandible - surgery
Middle Aged -
Models, Anatomic -
Mouth Mucosa - surgery
Mucous Membrane - transplantation
Surgical Flaps - blood supply Surgical Flaps - surgery
Tissue and Organ Harvesting - methods
Tomography, X-Ray Computed - methods
Transplant Donor Site - surgery
Treatment Outcome -

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