MORBIDITY ASSOCIATED WITH HARVESTING OF ILIAC CREST BONE GRAFT FOR MAXILLOFACIAL RECONSTRUCTION

Abstract

Objective: To evaluatethe post-operative morbidity associated with harvesting of iliac crest bone graft. Materials and Methods: This study was conducted in the Department of Oral and Maxillofacial Surgery, King Edward Medical University/Mayo Hospital, Lahore, from March 2010 to March2012; and at the Department of Oral & Maxillofacial Surgery, Fatima Memorial Hospital Lahore, from June 2012 to June 2017. After approval of the study was obtained from Institutional Review Board (IRB), informed consent of the patients was taken on customized proforma.A total of 36 patients were subjected to reconstruction of maxillofacial bony defects with 36 bone grafts harvested from anterior iliac crest; 20(55.56%) were male and 16 (44.44%) were female patients with mean age of 23 ± 10.31years (range 11-52 years). Results: At 3 months postoperatively, the pain score was noted as: 02 patients (5.5%) had score 1 and 34 patients (94.44%) had score 0. Only one patient (2.77%) had abnormality in gait. The donor site scars were assessed according to the patients’ satisfactory score whereby 24 patients (66.66%) had a score of 2; 04 patients (11.11%) had score 3 and 08 patients (22.22%) had score 1. While scar hypertrophy was seen in 2 patients (11.11%), wound dehiscence was seen in 1 patient (5.55%) only. Conclusion: Harvesting of bone graft from the anterior iliac crest is a safe and predictable surgical procedure for reconstruction of defects of oral and maxillofacial region with high patient tolerance, low morbidity and fewer complications.