장골이식 공여부의 합병증 및 후유증에 관한 후향적 연구

이승훈; 최소영; 김현수; 권태건; 김진수; 이상한; 장현중

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장골이식 공여부의 합병증 및 후유증에 관한 후향적 연구
Donor site morbidity of anterior iliac crest for reconstruction of the jaw

대한구강악안면외과학회지 2010년 36권 5호 p.380 ~ 385

이승훈, 최소영, 김현수, 권태건, 김진수, 이상한, 장현중,

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이승훈 ( Lee Seung-Hun ) - 경북대학교 치과대학 구강악안면외과학교실
최소영 ( Choi So-Young ) - 경북대학교 치과대학 구강악안면외과학교실
김현수 ( Kim Hyun-Soo ) - 구미 차병원 치과학교실
권태건 ( Kwon Tae-Geon ) - 경북대학교 치과대학 구강악안면외과학교실
김진수 ( Kim Chin-Soo ) - 경북대학교 치과대학 구강악안면외과학교실
이상한 ( Lee Sang-Han ) - 경북대학교 치과대학 구강악안면외과학교실
장현중 ( Jang Hyun-Jung ) - 경북대학교 치과대학 구강악안면외과학교실

KMID : 0355620100360050380

Abstract

Introduction: The iliac crest has been the accepted place to obtain bone for reconstruction in oral and maxillofacial surgery. The iliac crest has many advantages because of its accessibility, large amount of cancellous bone, relative ease of bone harvest, possibility of two team approach and ability to close the wound primarily. This study evaluated retrospectively the morbidity of bone harvesting from the anterior iliac crest to provide a logical guide for recognizing the complications and morbidities of an iliac crest bone graft.

Materials and Methods: Fifty healthy patients (mean age of 35.5 years; range 7 to 59) underwent iliac crest bone harvesting for a maxillofacial reconstruction from January 2007 to September 2009 at the Department of Oral and Maxillofacial Surgery in Kyungpook National University Hospital. Age, sex, size and kind of grafted bone, duration of pain on donor site, duration of gait disturbance, sensory deficit, scar, contour defect were measured in each patients by retrospective research.

Results: The mean duration of pain is 6.7 days, and mean duration of gait disturbance is 7.2 days. Most patients were free from gait disturbances and pain within 2 weeks and there was no correlation between the size of the harvesting block bone and the duration of gait disturbance or pain. However, this study showed that the duration of pain is associated with gait disturbance. In addition, most patients had no complaints regarding their surgical scar and contour defect, and only one patient had permanent impairment of the sensory function. Moreover, an iliac bone graft did not extend the length of hospitalization.

Conclusion: This study suggests that split thickness bone harvesting from the inner table of the anterior iliac crest is a well accepted procedure with relatively low morbidity.