Intraoral Maxillofacial Autografts. Bone Graft Site and Harvesting Technique

Document from the year 2018 in the subject Medicine - Other, , course: oral & maxillofacial surgery, language: English, abstract: Most dental practitioners are unaware or lack of bone biology, graft materials, membranes, bone harvesting or bone grafting as these topics are not uniformly explained in various hands-on cadaver, live-surgery or lecture programs. Intra oral bone grafts are used in the field of surgical oncology - head and neck. Extraoral autografts are gold standard but intraoral autografts are advantageous because their close proximity to the operating field. Also they minimize the need of second operative procedures for harvesting graft. Thus they emerge as a new alternative to classic extraoral autografts. They are also used in maxillofacial surgery, trauma, plastic surgery et cetera. This book will be useful for dental students, implantologists, prosthodontists, oral surgeons, oncosurgeons and orthopaedic surgeons.

Reconstruction of maxillofacial continuity defects has always been a challenging task for the scientists and surgeons over the years. The main objective of the maxillofacial region's reconstruction is to restore the facial form, function, complete rehabilitation of occlusion and articulation. A refinement in surgical technique and methods of reconstruction has improved patient's quality of life. Bone Grafting is one of the commonest operations performed in Orthopaedics. Its indications include non-union, delayed union, packing bone cysts and cavities, elevating depressed articular fractures and reconstruction of large bone defects. Autografting from the iliac crest is the gold standard. Publications on mandibular reconstruction with free bone grafts date from as early as the end of the eighteenth century and beginning of the nineteenth century. Bardenheuer and Skyoff reported the first cases of mandibular reconstruction with autologous bone grafts harvested from the iliac crest, tibia, and rib. Considerable experience treating traumatic mandibular defects was gained during the First World War.