Is Immediate Reconstruction of the Mandible With Nonvascularized Bone Graft Following Resection of Benign Pathology a Viable Treatment Option?

Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

“…Schlieve et al [23] defined success as provision of enough bulk to support implant placement. It should however be remembered that not all patients will prefer this additional treatment and definition of success should align with the aim of restoration which is to restore form and function.…”

“…Some authors believe that the method of immobilization has a big role to play in the success of the graft, [29] -(32), Okoturo [28] - (10), Schlieve et al [23] - (13), Shirani et al [30] -(4), Obiechina et al [25] - (13), Agrawal et al [3] - (8) 80 (74.8)…”

“…Okoturo [28] -(4), Schlieve et al [23] - (2), Obiechina et al [25] - (3) 9 (8.4) Odontogenic myxoma/fibromyxoma Schlieve et al [23] -(2), Okoturo [28] - (2), Obiechina et al [25] - (2), Shirani et al [30] - (1) 7 (6.5) Odontogenic keratocyst Shirani et al [30] - (1), Agrawal et al [3] - (1) 2 (1.9)…”

“…Obiechina et al [25] - (2) 2 (1.9) Cementoblastoma Schlieve et al [23] - (1) 1 (0.9) Odontogenic cyst Okoturo [28] - (1) 1 (0.9) Central giant cell granuloma Okoturo [28] - (1) 1 (0.9) Spindle cell tumor Shirani et al [30] - (1 ) 1 (0.9) Arteriovenous malformation Schlieve et al [23] - (1) 1 (0.9) Osteoblastoma Schlieve et al [23] - (1) 1 (0.9) Osteomyelitis Agrawal et al [3] - (1) 1 (0.9) Total 107 (100) [23] -(2), Obiechina et al [25] -(1), Agrawal et al [3] -(3), Simon et al [29] -(2), Olusanya et al [19] - (2) Wound dehiscence 5 (31.3) Okoturo [28] -(2), Agrawal et al [3] -(1), Olusanya et al [19] - (2) Orocutaneous fistulation 1 (6.2) Okoturo [28] - (1) Total 16 (100) Although a number of the studies in this review employed rigid fixation of the graft with the use of plates and the authors claiming it as one of the main factors for graft success. Few of the studies due to non-affordability of plates by patients employed the use of stainless steel wires for immobilization with good outcomes even in long defect spans.…”

“…Furthermore, the high failure rate previously cited [20,21] with immediate NVICBG has been countered by other authors who opined that failure may be connected with inappropriate patient selection and sub-optimal method of treatment. [22,23] The aim of this review was to conduct a systematic literature review on the complication and failure rates of use of NVICBG and factors associated with failure.…”