구강악안면 영역의 재건을 위한 경골 근위부 내측 골이식술의 후향적 분석
A RETROSPECTIVE ANALYSIS OF THE MEDIOPROXIMAL TIBIAL BONE GRAFT FOR ORAL AND MAXILLOFACIAL RECONSTRUCTION
백민규, 김일규, 조현영, 장금수, 박승훈, 박종원, 소경모,
소속 상세정보
백민규 ( Baek Min-Kyu ) - 인하대학교 의과대학 구강악안면외과학교실
김일규 ( Kim Il-Kyu ) - 인하대학교 의과대학 구강악안면외과학교실
조현영 ( Cho Hyun-Young ) - 인하대학교 의과대학 구강악안면외과학교실
장금수 ( Chang Keum-Soo ) - 인하대학교 의과대학 구강악안면외과학교실
박승훈 ( Park Seung-Hoon ) - 인하대학교 의과대학 구강악안면외과학교실
박종원 ( Park Jong-Won ) - 인하대학교 의과대학 구강악안면외과학교실
소경모 ( So Kyung-Mo ) - 인하대학교 의과대학 구강악안면외과학교실
KMID : 0360120080300030241
Abstract
Tibial bone grafts provide an adequate volume of cancellous bone with cortical bone, high biologic value of bone, minimal gait disturbance and complications, and no special contraindications, and offer a superior clinical results than any other donor sites. Lateral appoach in tibial bone graft was used to gain large bone volume traditionally, but medial approach provides low morbidity associated with the tibial anatomic structure, simple and safety surgical procedure, and better comfortable to patients recently. We have undertaken clinical and retrospective studies on patients in Dept. of Oral and Maxillofacial Surgery, Inha University Hospital from April 2004 to January 2008. 50 patients have maxillofacial bony defect as resection of bening tumor, cyst enucleation, alveolar bone resorption, sinus pneumatization were received the tibial proximal autogenous particulated cancellous bone grafts. They were analyzed sex, age, diagnosis of recipient site, lesion size, dornor site, cortical bone repositioning, complications and we concluded favorable following results. 1. Medial approach for proximal tibia is safer and technically easier than lateral approach, associated with the proximal tibial anatomic structures, and short operative times. 2. Proximal tibia provides an adequate bone volume with predictability for oral and maxillofacial reconstruction. 3. Patients rarely complain of pain, swelling, discomfort and dysfunction such as gait disturbance. In conclusion, medial approach for proximal tibial graft seems to be a valuable tool for oral and maxillofacial reconstruction.
키워드
Proximal tibia;Cancellous bone graft;Medial approach;Dornor site morbidity
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