Abstract：
BACKGROUND: Autogenous bone grafts remain the \"gold standard\" in maxillofacial reconstructive procedures. The objective of this study was to evaluate the proximal tibia as a donor site of cancellous bone for bone grafting procedures of the mandible on the basis of intraoperative parameters and clinical observations.
METHODS: The study was based on a medical record search of 40 patients who underwent surgical procedures because of benign pathological lesions of the jaws resulting in 3-wall bone defects of the mandible and qualified for surgical removal of the lesion with simultaneous bone grafting of the defect with autogenous cancellous bone harvested from the proximal tibia.
RESULTS: The use of the proximal tibia for bone grafting procedures enables large amounts of cancellous bone (15.09 cc in average) to be obtained. The procedure is characterized by a low risk of early and late complications, which include excessive bleeding, wound infection, lengthy healing time, scars, a loss of sensation around the scars, aching, a dip in bone, swelling and tenderness.
CONCLUSIONS: The ability to obtain large amounts of cancellous bone and a low risk of intra- and postoperative complications make the proximal tibia an attractive donor site for the bone grafting procedures in maxillofacial surgery.
METHODS: The study was based on a medical record search of 40 patients who underwent surgical procedures because of benign pathological lesions of the jaws resulting in 3-wall bone defects of the mandible and qualified for surgical removal of the lesion with simultaneous bone grafting of the defect with autogenous cancellous bone harvested from the proximal tibia.
RESULTS: The use of the proximal tibia for bone grafting procedures enables large amounts of cancellous bone (15.09 cc in average) to be obtained. The procedure is characterized by a low risk of early and late complications, which include excessive bleeding, wound infection, lengthy healing time, scars, a loss of sensation around the scars, aching, a dip in bone, swelling and tenderness.
CONCLUSIONS: The ability to obtain large amounts of cancellous bone and a low risk of intra- and postoperative complications make the proximal tibia an attractive donor site for the bone grafting procedures in maxillofacial surgery.
摘要：
背景：自体骨移植仍然是颌面部重建手术中的“金标准”。这项研究的目的是根据术中参数和临床观察，评估胫骨近端作为下颌骨植骨手术的松质骨供体部位。
方法：该研究基于对40例患者的医疗记录搜索，这些患者由于颌骨的良性病理性病变导致下颌骨的3壁骨缺损而接受了外科手术，并且有资格进行手术切除病变，同时用胫骨近端自体松质骨对缺损进行植骨。
结果：使用近端胫骨进行骨移植手术可以获得大量的松质骨（平均15.09cc）。该手术的特点是早期和晚期并发症的风险低，其中包括过度出血，伤口感染,漫长的愈合时间,疤痕,伤疤周围的感觉丧失，疼痛,蘸骨头，肿胀和压痛。
结论：获得大量松质骨的能力和术后并发症的低风险使胫骨近端成为颌面外科植骨手术的有吸引力的供体部位。
方法：该研究基于对40例患者的医疗记录搜索，这些患者由于颌骨的良性病理性病变导致下颌骨的3壁骨缺损而接受了外科手术，并且有资格进行手术切除病变，同时用胫骨近端自体松质骨对缺损进行植骨。
结果：使用近端胫骨进行骨移植手术可以获得大量的松质骨（平均15.09cc）。该手术的特点是早期和晚期并发症的风险低，其中包括过度出血，伤口感染,漫长的愈合时间,疤痕,伤疤周围的感觉丧失，疼痛,蘸骨头，肿胀和压痛。
结论：获得大量松质骨的能力和术后并发症的低风险使胫骨近端成为颌面外科植骨手术的有吸引力的供体部位。
