This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

LTC Durwood E. Bach, DC; MAJ Lawrence P. A. Burgess, MC; COL Theodore Zislis, DC; LTC Nicholas Quigley, DC; COL Jeffrey O. Hollinger, DC

Arch Otolaryngol Head Neck Surg. 1991;117(4):390-395.

Abstract
• Both autogenous bone grafts and demineralized freeze-dried allogeneic bone implants were evaluated for mandibular reconstruction. Four-centimeter segmental defects of the midbody of the edentulous mandible were reconstructed in 36 dogs, with specimens recovered at 3 and 6 months and quantitatively compared for total and new bone by histomorphometric analysis. Autogenous grafts consisted of corticocancellous cranial block (CB), corticocancellous iliac block (IB), and particulate cancellous iliac marrow (PM). The allogeneic bone was demineralized and freeze-dried, and consisted of particulate cortical endochondral bone (FP), cranial cortical block (FCB), and iliac cortical block (FIB). Clinically and histomorphometrically, results appeared to indicate that (1) CB compared favorably with IB at 3 and 6 months for total bone, but IB showed a trend for more new bone formation at 6 months, a trend that may be due to the thicker cortical component of CB, which requires longer time periods to remodel than the cancellous rich IB; (2) FP failed to achieve bony union at 3 months, with inadequate rates of new bone formation; and (3) FCB and FIB compared favorably for total bone with CB and IB at 6 months, although new bone for autogenous CB and IB was 26.9% and 45.4%, while new bone for allogeneic FCB and FIB represented only 7.9% and 17.4%.

(Arch Otolaryngol Head Neck Surg. 1991; 117:390-395)

Author Affiliations
USA; USA; USA; USA; USA

From the United States Army Institute of Dental Research, Walter Reed Army Institute of Research (LTC Bach, COL Zislis, LTC Quigley, and COL Hollinger), and the Otolaryngology—Head and Neck Surgery Service, Walter Reed Army Medical Center, Washington, DC (MAJ Burgess). MAJ Burgess is presently with the Tripler (Hawaii) Army Medical Center.

Footnotes
Accepted for publication November 26, 1990.

Presented at the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery, West Palm Beach, Fla, May 5, 1990.

The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the US Army or the Department of Defense.

Reprint requests to Otolaryngology—Head and Neck Surgery Service, Tripler Army Medical Center, Tripler, HI 96859-5000 (MAJ Burgess).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?