Donor Site Changes in Bone Thickness, Volume, and Density Following Split Cranial Bone Graft Harvest

2019 ◽  
Vol 30 (8) ◽  
pp. e780-e784
Author(s):  
Sandeep B ◽  
Ramesh K. Sharma ◽  
Jerry R. John ◽  
Niranjan Khandelwal
Keyword(s):  
Bone Graft ◽  
Donor Site ◽  
Cranial Bone ◽  
Bone Thickness ◽  
Graft Harvest

A Comparison of Shepard's Osteotome versus Trapdoor Flap Technique to Harvest Iliac Crest Bone for Secondary Alveolar Bone Grafting

2008 ◽  
Vol 45 (4) ◽  
pp. 347-352 ◽  
Author(s):  
J. Constantinides ◽  
P. Chhabra ◽  
P. J. Turner ◽  
B. Richard
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Alveolar Bone ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Iliac Crest Bone Graft ◽  
Open Technique ◽  
Flap Technique ◽  
Graft Harvest ◽  
Alveolar Bone Grafting

Objective: To compare the postoperative donor site morbidity and alveolar bone graft results following two different techniques for iliac crest bone graft harvest: a closed (Shepard's osteotome) and an open (trapdoor flap) technique. Design: A retrospective review of two cohorts of alveolar bone grafts performed from 1998 to 2004 in Birmingham Children's Hospital by two surgeons using different harvest techniques. Medical and nursing anesthetic notes and medication charts were reviewed. Alveolar bone graft results were assessed using preoperative and postoperative radiographic studies. Patients: A total of 137 patients underwent an operation. Of these, 109 patients were compatible with the inclusion criteria (data available, first operation, no multiple comorbidities). Sixty-four patients had iliac bone harvested using the open trapdoor technique, while 45 had the same procedure using the closed osteotomy technique. Results: Maximum bone graft volumes harvested were similar with both techniques. The mean length of hospital stay was 50.9 hours for the osteotome and 75.5 hours for the open technique group (p < .0001). The postoperative analgesia requirement was higher and the postoperative mobilization was delayed and more difficult for the open technique patients (p < .0005). Kindelan scores performed by two independent orthodontists were similar for both techniques. Conclusion: The findings demonstrate that harvesting bone from the iliac crest using an osteotome technique reduces time in hospital, analgesia requirements, and postoperative donor site morbidity with no detrimental outcome.

scholarly journals SPINE SURGERY;

2013 ◽  
Vol 20 (02) ◽  
pp. 266-271
Author(s):  
ABDUL SATAR ◽  
MUHAMMAD INAM ◽  
MOHAMMAD ARIF ◽  
Mohammad Saeed, ◽  
Imran Khan Wazir,
Keyword(s):  
Bone Graft ◽  
Spine Surgery ◽  
Iliac Crest ◽  
Donor Site ◽  
Deep Infection ◽  
Autogenous Bone ◽  
Superficial Infection ◽  
Graft Harvest ◽  
Donor Site Pain ◽  
Minimum Age

Objectives: The objective of this study is to find out the complication directly related to iliac bone graft harvest in spinesurgery. Design: Observational prospective study. Setting: Department of Orthopedic and Spine surgery, Hayatabad Medical ComplexPeshawar. Period: January 2007 to April 2012 on 139 patients. Material and method: Only those cases were included in whom bonegrafting was done for fusion as part of their spine surgery and were successfully followed for at least 6 months. Results: Out of 139patients 59(42.4%) were female patients while 80(57.6%) were male. Minimum age of the patients was 4 years while maximum was 70years. In 119(85.6%) patients cortico-cancellous bone graft was taken. While in 20(14.4%) patients, tri-cortical graft was taken. Inmajority 106(76.3%) cases graft was obtained from the posterior iliac crest while in 33(23.7%) it was obtained from the anterior iliaccrest. 45(32.4%) had some pain at the bone graft site. 8(5.8%) had early deep infection while 6(4.3%) had early superficial infection. Nine(6.4%) of our patients had nerve injury evident by parasthesia in the zone of distribution. Conclusions: Iliac crest is an excellent sourceand best available material for autogenous bone grafting. However it is not free of complications. The most common complications arepersistent chronic donor site pain, infection and heamatoma.

Cranial Bone Grafts in Cerebrospinal Fluid Leak and Encephalocele Repair: A Preliminary Report

2003 ◽  
Vol 17 (3) ◽  
pp. 153-158 ◽  
Author(s):  
William E. Bolger ◽  
Kevin Mclaughlin
Keyword(s):  
Cerebrospinal Fluid ◽  
Bone Graft ◽  
Skull Base ◽  
Cerebrospinal Fluid Leak ◽  
Bone Grafts ◽  
Cranial Bone ◽  
Cerebrospinal Fluid Rhinorrhea ◽  
Graft Harvest ◽  
Skull Base Defects

Background With the introduction and subsequent widespread acceptance of endoscopic surgery, otolaryngologists are increasingly being called on to care for patients with cerebrospinal fluid rhinorrhea and meningoencephaloceles. Patients with large encephaloceles and skull base defects present a special challenge. We present our experience with cranial bone grafts in treating this important entity. Methods Our clinical experience was reviewed from 1998 to 2001. Review parameters included defect size, cranial bone graft harvest site and size, and graft appearance on postoperative follow-up. Results Results revealed that 20 patients underwent defect repair with cranial bone graft. The average defect was ∼0.92 x 0.7 cm; nine defects were located in the ethmoid roof, eight defects were in the sphenoid, and three defects were in the posterior table of the frontal sinus. Donor sites included 2 parietal, 3 frontal, and 15 temporal (mastoid). Grafts healed well and all defects remained closed on endoscopic and computerized tomographic follow-up. All donor sites healed well. Conclusion Our experience indicates that cranial bone graft is an excellent material for endoscopic reconstruction of skull base defects. It confers special advantages in large defects, in defects with complex three-dimensional characteristics, and in patients with cerebrospinal fluid leaks associated with an elevated intracranial pressure.

Ceramic - Bone Composite Implant: a New Method of Augmentation for Bone Regeneration

1987 ◽  
Vol 110 ◽  
Author(s):  
Mutaz B. Habal
Keyword(s):  
Bone Graft ◽  
Alveolar Bone ◽  
Donor Site ◽  
Cranial Bone ◽  
Alveolar Ridge ◽  
Hard Tissue ◽  
Partial Loss ◽  
Healing Phase ◽  
Materials Used ◽  
Composite Bone

AbstractBony defects in the alveolar bone, maxilla, paranasal region, and the floor of the nose were corrected in 75 consecutive patients with a composite bone graft. The composite bone graft is a mixture of a slurry of corticocancellous cranial bone, hydroxyapatite (R), and Bacitracin powder, and thrombin. The paste-like composite is used to pack the defect and correct the deformity. Complete bony immobilization, done externally or internally, is necessary during the healing phase of the bone composite. The patients were longitudinally evaluated, and the healing of the bone was assessed radiographically and clinically. Two major complications occurred during the healing phase at the recipient sites: one may have been indirectly related to the donor site, and the second was related to the age of the patient and the previous surgeries contributed to the partial loss. Composite bone grafts produce better results due to faster solidification of the grafts which acts acts as a strong inductive matrix. The graft is used in the alveolar ridge and in hard tissue augmentation of the bony structures in the maxilla. The prospectus for the future is to see more composites grafting, since it combines the advantages of the materials used.

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