Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

THE CLINICAL STUDY FOR AVAILABLE VOLUME OF ANTERIOR PART OF ASCENDING RAMUS AS A DONOR SITE IN ORAL AND MAXILLOFACIAL REGION

공여부로서의 하악 상행지 전방부의 가용 용적에 관한 임상적 연구

  • Jung, Sung-Uk (Division of Oral and Maxillofacial Surgery, Deptartment of Dentistry, Collage of Medicine, Korea University) ;
  • Lee, Eui-Seok (Division of Oral and Maxillofacial Surgery, Deptartment of Dentistry, Collage of Medicine, Korea University) ;
  • Yun, Jung-Ju (Division of Oral and Maxillofacial Surgery, Deptartment of Dentistry, Collage of Medicine, Korea University) ;
  • Lee, Sung-Jae (Division of Oral and Maxillofacial Surgery, Deptartment of Dentistry, Collage of Medicine, Korea University) ;
  • Jang, Hyun-Seok (Division of Oral and Maxillofacial Surgery, Deptartment of Dentistry, Collage of Medicine, Korea University) ;
  • Kwon, Jong-Jin (Division of Oral and Maxillofacial Surgery, Deptartment of Dentistry, Collage of Medicine, Korea University) ;
  • Rim, Jae-Suk (Division of Oral and Maxillofacial Surgery, Deptartment of Dentistry, Collage of Medicine, Korea University)
  • 정성욱 (고려대학교 의과대학 치과학교실 구강악안면외과) ;
  • 이의석 (고려대학교 의과대학 치과학교실 구강악안면외과) ;
  • 윤정주 (고려대학교 의과대학 치과학교실 구강악안면외과) ;
  • 이성재 (고려대학교 의과대학 치과학교실 구강악안면외과) ;
  • 장현석 (고려대학교 의과대학 치과학교실 구강악안면외과) ;
  • 권종진 (고려대학교 의과대학 치과학교실 구강악안면외과) ;
  • 임재석 (고려대학교 의과대학 치과학교실 구강악안면외과)
  • Published : 2005.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Bone grafts are widely used in the reconstruction of osseous defects in the oral and maxillofacial region. Autogenous bone grafts are considered the gold standard in grafting of the oral and maxillofacial region, because of its osteoconductive and osteoinductive properties. Mandibular symphysis & ascending ramus bone graft have been used more frequently because of easy surgical access, reduced operative time, and following minimal morbidity. However, even though the frequent use of the anterior part of ascending ramus and the different regions of mandible, rare of the reports provide information about the quantity of bone available in this donor site. So this study was taken to evaluate & quantify the amount of bone graft material in the anterior ascending ramus regions. This study was made on 36 samples of CT image. In 3D volume image, imaginary osteotomy & segmentation were done and the dimensions and volume of the bone grafts were measured and evaluated. the average volume of the graft materials obtained from the ascending ramus was $3656.83{\pm}108.19mm^3$, and the average dimensions of graft materials were $(33.68{\pm}0.48){\times}(34.92{\pm}0.51){\times}(15.96{\pm}0.27){\times}(9.05{\pm}0.27)mm$.

Keywords

References

  1. Block MS, Kent JN, Kallukaran FU: Bone maintenance 5 to 10 years after sinus grafting. J Oral Maxillofac Surg 1998;56:706 https://doi.org/10.1016/S0278-2391(98)90801-1
  2. Listrom RD, Symington JM: Osseointegrated dental implants in conjunction with bone grafts. Int J Oral Maxillofac Surg 1998;17:116-118 https://doi.org/10.1016/S0901-5027(88)80163-2
  3. Branemark PI: Introduction to osseointegration. In: Branemark PI, Zarb GA, Albrektsson T, eds: Tissue-Integrated Prostheses. Osseointegration in Clinical Dentistry. Chicago, IL: Quintessence 1985;47-50
  4. Keller EE, van Roekel NB, Desjardins RP, Tolman DE: Prostheticsurgical reconstruction of the severely resorbed maxilla with iliac bone grafting and tissue-integrated prostheses. Int J Oral Maxillofac Implants 1987;2:155-165
  5. Kahnberg KE, Nystrom L, Bartholdsson L: Combined use of bone grafts and Branemark fixtures in the treatment of severely resorbed maxilla. Int J Oral Maxillofac Implants 1998;3:209-214
  6. Gary JJ, Donovan M, Garner FT, Faukl JE: Rehabilitation with calvarial bone grafts an osseointegrated implants after partial maxillary resection: A clinical report. J Prosthet Dent 1992;67:743-746 https://doi.org/10.1016/0022-3913(92)90574-T
  7. Cain JR, Mitchell DL, Markowitz NR, wieblet FJ: Prosthodontic restoration with dental implants and an intraoral cranial bone onlay graft: A case report. Int J Oral Maxillofac Implants 1993;8:98-100
  8. Donovan MG, Dickerson NC, Hanson LJ, Gustafson RB: Maxillary and mandibular reconstruction using calvarial bone grafts and Branemark implants : A preliminary report. J Oral Maxillofac Surg 1994;52:588-594 https://doi.org/10.1016/0278-2391(94)90096-5
  9. Breine U, Branemark PI: Reconstruction of alveolar jaw bone. Scand J Plast Reconstr Surg 1980;14:23-48 https://doi.org/10.3109/02844318009105733
  10. Catone GA, Reimer BL, McNeir D, Ray R: Tibial autogenous cancellous bone as an alternative donor site in maxillofacial surgery : A preliminary report. J Oral Maxillofac Surg 1992;50:1258-1263 https://doi.org/10.1016/0278-2391(92)90223-M
  11. Buchbinder D, Urken ML, Vickery C, et al.: Functional mandibular reconstruction of patients with oral cancer. Oral Surg Oral Med Oral Pathol 1989;68:499-504 https://doi.org/10.1016/0030-4220(89)90229-6
  12. Wood RM, Moore DL: Grafting of the maxillary sinus with intraorally harvested autogenous bone prior to implant placement. Int J Oral Maxillofac Implants 1988;3:209-214
  13. Collins TA: Onlay bone grafting in combination with Branemark implants. In: Beirne OR, Worthington P, eds. Oral and Maxillofacial Surgery Clinics of North America. Philadelphia. PA: WB Saunders 1991;893-902
  14. Jensen J, Sindet-Pedersen S: Autogenous mandibular bone grafts and osseointegrated implants for reconstruction of the severely atrophied maxilla: A preliminary report. J Oral Maxillofac Surg 1991;49:1277- 1287 https://doi.org/10.1016/0278-2391(91)90303-4
  15. Ten Bruggenkate CM, Kraaijenhagen HA, van der Kwast WAM, et al.: Autogenous maxillary bone grafts in conjunction with placement of ITI endoosseous implants. A preliminary report. Int J Oral Maxillofac Surg 1992;21:81-84 https://doi.org/10.1016/S0901-5027(05)80537-5
  16. Misch CM: Enhance maxillary implant sites through symphysis bone graft. Dent Impl Update 1991;2:101-104
  17. Misch CM, Misch CE, Resnik R, Ismail YH: Reconstruction of maxillary alveolar defects with mandibular symphysis grafts for dental implants: A preliminary procedural report. Int J Oral Maxillofac Implants 1992;7:360-366
  18. Pikos MA: Buccolingual expansion of the maxillary ridge. Dent Impl Update 1992;3:85-87
  19. Jensen J, Sindet-Pedersen S, Oliver AJ: Varying treatment strategies for reconstruction of maxillary atrophy with implants: Result in 98 patients. J Oral Maxillofac Surg 1994;52:210-216 https://doi.org/10.1016/0278-2391(94)90283-6
  20. Collins TA, Nunn W: Autogenous veener grafting for improved esthetics with dental implants. Comp Contin Educ Dent 1994;15:370- 376
  21. Misch CM. Misch CE: The repair of localized severe ridge defects for implant placement using mandibular bone grafts. Impl Dent 1995;4:261-267 https://doi.org/10.1097/00008505-199500440-00006
  22. Becker W, Becker BE, Polizzi G, Bergstrom C: Autogenous bone grafting of bone defects adjacent to implants placed into immediate extraction sockets in patients: A prospective study. Int J Oral Maxillofac Implants 1994;9:389-396
  23. Buser D, dula K, Belser UC, et al.: Localized ridge augmentation using guided bone regeneration. II. Surgical procedure in the mandible. Int J Periodontal Rest Dent 1995;15:11-29
  24. Laurie SW, Kaban LB, Muliken JB: Donor site morbidity after harvesting rib and iliac bone. Plast Reconstr Surg 1984;73:933 https://doi.org/10.1097/00006534-198406000-00014
  25. Marx Re, Morales MJ: Morbidity from bone harvest in major jaw reconstruction: A randomized trial comparing the lateral anterior and posterior approaches to the ilium. J Oral Maxillofac Surg 1988;46:196 https://doi.org/10.1016/0278-2391(88)90083-3
  26. Frodel JL, Marentette IJ, Quatela VC, et al.: Calvarial bone graft harvest: techniques, considerations, and morbidity. Arch Otolaryngol Head Neck Surg 1993;119:17
  27. Harsha BC, Turvey TA, Powers SK: Use of autogenous cranial bone grafts in maxillofac Surg 1986;44:11
  28. Gungormus M, Yavuz MS : The ascending ramus of the mandible as a donor site in maxillofacial bone grafting. J Oral Maxillofac Surg 2002;60:1316-1318 https://doi.org/10.1053/joms.2002.35731
  29. Sindet-Pedersen S, Enemark H: Mandiular bone grafts for reconstruction of alveloar lefts. J Oral Maxillofac Surg 1988;46:553
  30. Li KK, Schwartz HC: Mandibular body bone in facial plastic and reconstructive surgery. Laryngoscope 1996;106:504 https://doi.org/10.1097/00005537-199604000-00022
  31. Girdler NM, Hosseini M: Orbital floor reconstruction with autogenous bone harvested from mandibular lingual cortex. Br J Oral Maxillofac Surg 1992;30:36 https://doi.org/10.1016/0266-4356(92)90134-5
  32. Muto T, Kanazawa M: Mandibular reconstruction using the anterior part of ascending ramus: Report of two cases. J Oral Maxillofac Surg 1997;55:1552
  33. Laskin JL, Edwards DM: Immediate reconstruction of an orbital complex fracture with autogenous mandibular bone. J Oral Surg 1977;35:749
  34. Lisa LY, Wilkie WK: Alternative donor site for alveolar bone grafting in adults with cleft lip and palate. Angle Orthodont 1996;6:9
  35. Proussaefs P, Lozada J, Kleinman A, Rohere MD: The use of ramus autogenous block grafts for vertical alveolar ridge augmentation and implant placement: a pilot study. Int J Oral Maxillofac Implants 2002;17:238-48
  36. Choung PH, Kim SG: The coronoid process for paranasal augmentation in the correction of midfacial concavity. Oral Surg Oral Med Oral Pathol 2001;91:28
  37. Smiler DG: Small-segment symphysis graft: Augmentation of the maxillary anterior ridge. Practical Periodontics Aesthetic Dent 1996;8:479
  38. Smith JD, Abramson M: Membranous vs endochondral bone autografts. Arch Otolaryngol 1974;99:203 https://doi.org/10.1001/archotol.1974.00780030211011
  39. Zins JE, Whitaker LA: Membranous vs endochondral bone autografts: Implications for craniofacial reconstruction. Plast Reconstr Surg 1983;72:778 https://doi.org/10.1097/00006534-198312000-00005
  40. Lin Ky, Bartlett SP, Yaremchuk MJ, Fallon M, Grossman RF, Whitaker LA: The effect of rigid fixation on the survival of onlay bone grafts: An experimental study. Plast Reconstr Surg 1990; 86:449-456 https://doi.org/10.1097/00006534-199009000-00010
  41. Rabie ABM, Dan Z, Samman N: Ultrastructural identification of cells involved in the healing of intramembranous and endochondral bones. Int J Oral Maxillofac Surg 1996;25:383-388 https://doi.org/10.1016/S0901-5027(06)80038-X
  42. Avery JK: Development of cartilages and bones of the facial skeleton. IN. Avery JK (ed). Oral Development and Histology. New York: Thieme 1994;42-56
  43. Hammack BL, Enneking WF: Comparative vascularization of autogenous and homogenous bone transplants. J Bone Joint Surg[Am] 1960;42:811 https://doi.org/10.2106/00004623-196042050-00008
  44. Kusiak JF, Zins JE, Whitaker LA: The early revascularization of membranous bone. Plast Reconstr Surg 1985;76:510 https://doi.org/10.1097/00006534-198510000-00003
  45. Marx RE: The science of reconstruction In: Bell WH (ed). Modern Practice in Orthognathic and Reconstructive Surgery. Philadephia: Saunders. 1992;1449-1452
  46. Hardesty RA, Marsh JL: Craniofacial onlay bone grafting: A prospective evaluation of graft morphology, orientation and embryonic origin. Plast Reconstr Surg 1990;85:5-14 https://doi.org/10.1097/00006534-199001000-00002
  47. Manson PN: Facial bone healing and bone grafts. A review of clinical physiology. Clin Plast Surg 1994;21:331-348
  48. Koole R, Bosker H, Noorman van der Dussen F: Secondary autogenous bone grafting in cleft patients comparing mandibular (ectomesenchymal) and iliac crest (mesenchymal) grafts. J Craniomaxillofac Surg 1989;17:28-30 https://doi.org/10.1016/S1010-5182(89)80036-8
  49. Sindet-Pedersen S, Enemark H: Reconstruction of alveloar clefts with mandibular or iliac crest bone grafts. A comparative study. J Oral Maxillofac Surg 1990;48:554-558 https://doi.org/10.1016/S0278-2391(10)80466-5
  50. Williamson RA: Rehabilitation of the resorbed maxilla and mandible using autogenous bone grafts and osseointegrated implants. Int J Oral Maxillofac Implants 1996;11:476-488
  51. Borstlap WA, Heidbuchel KLWM, Freihofer HPM, Kuijpers-Jagtman AM: Early secondary bone grafting of alveolar cleft defects: A comparison between chin and rib grafts. J Craniomaxillofac Surg 1990;18:201-205 https://doi.org/10.1016/S1010-5182(05)80411-1
  52. Widmark G, Andersson B, Ivanoff CJ: Mandibular bone graft in the anterior maxilla for single-tooth implants: Presentation of a surgical method. Int J Oral Maxillofac Surg 1997;26:106 https://doi.org/10.1016/S0901-5027(05)80827-6
  53. Veis AA, Tsirlis AT, Parisis NA: Effect of autogenous harvest site location on the outcome of ridge augmentation for implant dehiscences. Int J Periodontics Restorative Dent 2004;24:155-63
  54. Hoppenreijs TJM, Nijdam ES, Freihofer HPM: The chin as a donor site in early secondary osteoplasty: A retrospective clinical and radiological evaluation. J Craniomaxillofac Surg 1992;20:199-224
  55. Misch CM, Misch CE: Autogenous mandibular bone grafts for reconstruction of ridge deficiencies prior to implant placement[abstract]. Int J Oral Maxillofac Implants 1993;8:117
  56. Raghoebar GM, Batenburg RHK, Vissink A, Reintsema H: Augmentation of localized defects of the anterior maxillary ridge with autogenous bone before insertion of implants. J Oral Maxillofac Surg 1996;54:1180-1185 https://doi.org/10.1016/S0278-2391(96)90346-8
  57. Jensen J, Reiche-Fischel O, Sindet-Pedesen S: Autogenous mandibular bone grafts for malar augmentation. J Oral Maxillofacial Surg 1995;53:88-90 https://doi.org/10.1016/0278-2391(95)90512-X
  58. Smith BR, Reichel JL, Waite DE, Read L: Mandibular anatomy as it relates to rigid fixation of the sagittal split ramus osteotomy. J Oral Maxillofac Surg 1991;49:224
  59. Heggie AAC: The use of mandibular buccal cortical grafts in bimaxillary surgery. J Oral Maxillofac Surg 1993;51:1282-1283 https://doi.org/10.1016/S0278-2391(10)80304-0
  60. Misch CM: Comparison of intraoral donor sites for onlay grafting prior to implant placement. Int J Oral Maxillofac Implnats 1997;12:767-776
  61. Bahr W, Coulon JP: Limits of the mandibular symphysis as a donor site for bone grafts in early secondary cleft palate osteoplasty. Int J Oral Maxillofac Surg 1996;25:389 https://doi.org/10.1016/S0901-5027(06)80039-1
  62. Montazem A. Valauri DV, St-Hilaire H, et al.: The mandibular symphysis as a donor site in maxillofacial bone grafting: A quantitative anatomic study. J Oral Maxillofac Surg 2000;58:1368
  63. Kim HJ, Yoon HR, Kim KD, Kang MK, Kwak HH, Park HD, Han SH, Park CS: Personal-computer-based three-dimensional reconstruction and simulation of maxillary sinus. Surg Radiol Anat 2003; 24:397
  64. Uchida Y. Goto M, Katsuki T, Soejima Y: Measruement of maxillary sinus volume using computerized tomographic images. Int J Oral Maxillofac Implants 1998;13:811-8