Long term follow-up of reconstruction with allogeneic mandibular bone crib packed with autogenous particulate cancellous bone marrow

被引:25
作者
Rochanawutanon S. [1 ]
Suddhasthira T. [1 ]
Pairuchvej V. [1 ]
Vajaradul Y. [2 ]
机构
[1] Dept. of Oral/Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Phaya Thai, Bangkok 10400, Yothi Road
[2] Bangkok Biomaterial Center, Mahidol University, Siriraj Hospital
关键词
Allogeneic mandibular bone crib; Autogenous particulate cancellous bone marrow; Deep frozen allograft; Long term follow up; Mandibular reconstruction; Tissue banking;
D O I
10.1023/A:1023602717328
中图分类号
学科分类号
摘要
Allogeneic mandibular bone processed by the deep frozen method was used as a biologic crib for mandibular reconstruction. The allogeneic mandible is biocompatible, bioresorbable, of low antigenicity and provides the morphology for symphysis contour, angle of mandible and dental arch form. The particulate cancellous bone marrow (PCBM) contains marked osteogenic potential of hematopoietic marrow, which promotes osteogenesis. The cancellous marrow graft lacks structure and requires a crib to house it during the bone regeneration to the consolidation phase. Fresh frozen mandible was hollowed out for packing with PCBM prior to securing it to the defect by a rigid fixation method. Four cases of large mandibular defects resulting from treatment of benign odontogenic tumors were reconstructed utilizing this technique. All cases showed excellent facial contour and function satisfactorily in mastication and pronunciation. Complete graft incorporation and restoration of the osseous continuities were observed for four to 12 years after the operation.
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页码:183 / 197
页数:14
相关论文
共 41 条
[1]  
Assal L.A., Mandibular reconstruction using cortical bone grafts packed with cancellous marrow and a reconstruction plate, Oral Maxillofac. Surg. Clin. N. Am., 3, pp. 223-232, (1991)
[2]  
Bays R.A., Current concepts in bone grafting, Current Advance in Oral Maxillofacial Surgery, 4, pp. 105-124, (1980)
[3]  
Boyne A., Philip J., Osseous Reconstruction of the Maxilla and Mandible, pp. 3-9, (1997)
[4]  
Carlson E.R., Mandibular bone grafts: Techniques, placement and evaluation, The Oral and Maxillofacial Surgery Knowledge Update, pp. 35-62, (1994)
[5]  
Carlson E.R., Mandibular reconstruction using cancellous cellular bone grafts, J. Oral. Maxillofac. Surg., 54, pp. 889-897, (1996)
[6]  
Gardner D.G., Denver C., Some current concepts on the pathology of Ameloblastoma, Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 82, pp. 660-669, (1996)
[7]  
Kelly J.F., Tissue banking and the use of banked tissues in dentistry, Chapter 4-Clinical Transplantation in Dental Specialties, pp. 38-64, (1980)
[8]  
Kennedy M.C., Tucker M.R., Lester G.E., Buckley M.J., Histomorphometric evaluation of stress shielding in mandibular continuity defects treated with rigid fixation plates and bone grafts, Int. J. Oral Maxillofac. Surg., 18, pp. 170-174, (1989)
[9]  
Kruger E., Krumholg K., Results of bone grafting after rigid fixation, J. Oral Maxillofac. Surg., 42, pp. 491-496, (1984)
[10]  
Langer F., Czitrom A., Pritzker K.P., Gross A.E., The Immunogenicity of fresh and frozen allogeneic bone, J. Bone Joint Surg. Am., 57, pp. 216-220, (1975)