Selected Publication:
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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
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
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Schultes Günter
- Co-authors Med Uni Graz
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Gerzanic Lucia
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Kärcher Hans
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- Abstract:
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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.
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Adult -
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Alveolar Ridge Augmentation - methods
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Atrophy -
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Axilla - surgery
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Bone Transplantation - methods Bone Transplantation - pathology
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Computer-Aided Design -
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Dental Implantation, Endosseous - methods
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Female -
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Follow-Up Studies -
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Humans -
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Ilium - surgery
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Imaging, Three-Dimensional - methods
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Male -
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Mandible - pathology Mandible - surgery
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Middle Aged -
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Models, Anatomic -
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Mouth Mucosa - surgery
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Mucous Membrane - transplantation
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Surgical Flaps - blood supply Surgical Flaps - surgery
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Tissue and Organ Harvesting - methods
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Tomography, X-Ray Computed - methods
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Transplant Donor Site - surgery
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Treatment Outcome -