PLACE OF THE ILIAC BONE GRAFT IN MAXILLO-FACIAL SURGERY (About 12 cases)

INTRODUCTIONAutologous bone grafts are frequently used in Stomatology and Maxillofacial Surgery to fill maxillofacial bone defects as well as pre-implant surgery.The iliac bone is an important cortico-cancellous bone donor site allowing major bone reconstructions.MATERIALS AND METHODSWe carried out a retrospective study, over a period of five years, extending from: January 2012 to December 2016, collecting 12 patients for whom iliac bone grafts were performed.We studied the indications, the volume of graft harvesting and the postoperative follow-up.RESULTS AND ANALYSISThe main indications were the loss of bone substances of tumoral origin for 06 patients or 50%, traumatic for two patients or 16.66% and infectious in a single patient or 8.33%, two of gingivoperiosteoplasty, and in the remaining patient sequelae of the scleroderma was the origin of the loss of bone substance. The samples were very variable in size. In our series, we note two cases of graft resorption, which is 16.66%.DISCUSSIONThe harvesting of an iliac bone graft has a multitude of indications.The choice of the iliac bone as the donor site for autologous bone grafts remains the golden rule in maxillofacial surgery, despite the morbidity that accompanies this donor site.It is the most used technique in our department of Stomatology and Maxillofacial Surgery with satisfactory results.CONCLUSIONOur results seem quite favorable and in agreement with a number of studies addressing the subject of iliac bone graft indication and the morbidity associated with this type of harvesting.