Iliac Crest Tissue Transfer Workup

Updated: Jan 27, 2016
  • Author: Neeraj N Mathur, MBBS, MS, DNB(ENT), MNAMS, FAMS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Imaging Studies

CT assists in the definition of the extent of the required resection. Evidence of bone resorption is best appreciated by the direct examination of specific bone-enhancing images (bone windows). The printout of life-sized images (1:1 reproductions) and the creation of templates have been described as useful in mandibular reconstruction. These templates can assist the surgeon with molding and recontouring the flap, but these techniques are not widely available and can be costly.

A panoramic radiograph is reportedly effective in predicting bone involvement by overlying squamous cell carcinoma. The additional benefit of demonstrating the presence of dental pathology, which may alter the decision to extract or maintain teeth, also should be considered.