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Delayed iliac abscess as an unusual complication of an iliac bone graft in an crthognathic case

De Riu, Giacomo and Meloni, Silvio Mario and Raho, Maria Teresa and Gobbi, Roberta and Tullio, Antonio (2008) Delayed iliac abscess as an unusual complication of an iliac bone graft in an crthognathic case. International Journal of Oral and Maxillofacial Surgery, Vol. 37 (12), p. 1156-1158. ISSN 0901-5027. Article.

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DOI: 10.1016/j.ijom.2008.07.018

Abstract

Abstract. The reconstruction of large maxillofacial defects generally requires harvesting bone from extra-oral sites. The main source of autogenous bone is the iliac crest. This donor site is used to obtain bone for augmentation in orthopaedic surgery, neurosurgery, and oral and maxillofacial surgery, where the main indications are secondary and tertiary osteoplasty in patients with cleft-lip and palate, reconstruction of bony defects after operations for tumours, and augmentation of severe atrophy of the alveolar crest in preprosthetic surgery. A review of the literature on complications following bone harvesting from the anterior iliac crest reveals persistent pain, nerve injury, haemorrhage, limping, persistent gait abnormalities, conspicuous scarring, bone contour alteration, infection, fracture, meralgia paraesthetica, peritonitis, and herniation. The authors report an unusual complication: a huge iliac abscess that appeared 4 years after bimaxillary surgery involving iliac bone grafts.

Item Type:Article
ID Code:1419
Status:Published
Refereed:Yes
Uncontrolled Keywords:orthognathic complications, bone graft, iliac abscess
Subjects:Area 06 - Scienze mediche > MED/29 Chirurgia maxillofacciale
Divisions:001 Università di Sassari > 03 Istituti > Clinica odontoiatrica
Publisher:Elsevier
ISSN:0901-5027
Copyright Holders:© 2008 International Association of Oral and Maxillofacial Surgeons Published by Elsevier
Deposited On:18 Aug 2009 10:05

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