Avascular free bone grafts in the reconstruction of craniomaxillofacial defects

Presenter Information

Sami Salihu

Session

Dental Science

Description

Avascular free bone grafts have a very complex use in the reconstruction of bone defects in the craniomaxillofacial region. Indications for the use of these grafts are the plastic of bone defects in this region that follow surgical-oncological interventions, traumatic defects, aesthetic reconstructions of orthognathic anomalies, or orofacial clefts, as well as vertical and horizontal augmentations of the jaws for implantological treatment. Bone grafts. which we have used for the plastic of these defects were taken from the iliac crest, the skull, and the ribs, and were monocortical and bicortical grafts. The grafts from the skull were monocortical grafts, while the grafts from the iliac crest and the ribs were bicortical. For the plastic of the gnathoschis we have also used the cancellous bone from the iliac crest. Each bone graft was fixed in the recipient region and was well covered with soft tissue. The functional and aesthetic results of these grafts have been very good, with minimal resorption and we have not recorded any loss, necrotic process or infection of the graft in the donor region.

Keywords:

bone defects, Bone grafts, functional results, esthetic results

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-982-41-2

Location

UBT Lipjan, Kosovo

Start Date

25-10-2025 9:00 AM

End Date

26-10-2025 6:00 PM

DOI

10.33107/ubt-ic.2025.127

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Oct 25th, 9:00 AM Oct 26th, 6:00 PM

Avascular free bone grafts in the reconstruction of craniomaxillofacial defects

UBT Lipjan, Kosovo

Avascular free bone grafts have a very complex use in the reconstruction of bone defects in the craniomaxillofacial region. Indications for the use of these grafts are the plastic of bone defects in this region that follow surgical-oncological interventions, traumatic defects, aesthetic reconstructions of orthognathic anomalies, or orofacial clefts, as well as vertical and horizontal augmentations of the jaws for implantological treatment. Bone grafts. which we have used for the plastic of these defects were taken from the iliac crest, the skull, and the ribs, and were monocortical and bicortical grafts. The grafts from the skull were monocortical grafts, while the grafts from the iliac crest and the ribs were bicortical. For the plastic of the gnathoschis we have also used the cancellous bone from the iliac crest. Each bone graft was fixed in the recipient region and was well covered with soft tissue. The functional and aesthetic results of these grafts have been very good, with minimal resorption and we have not recorded any loss, necrotic process or infection of the graft in the donor region.