TY - JOUR T1 - Donor site morbidity after harvesting of proximal tibia bone JF - Head Neck Y1 - 2006 A1 - Chen,Y. C. A1 - Chen,C. H. A1 - Chen,P. L. A1 - Huang,I. Y. A1 - Shen,Y. S. A1 - Chen,C. M. KW - *Bone Transplantation / methods / standards KW - Adult KW - Female KW - Follow-Up Studies KW - Head and Neck Neoplasms / *surgery KW - Humans KW - Male KW - Middle Aged KW - Morbidity KW - Oral Surgical Procedures / *standards KW - Postoperative Complications / *epidemiology KW - Reconstructive Surgical Procedures / *standards KW - Retrospective Studies KW - Risk Factors KW - Tibia / *transplantation KW - Tissue and Organ Harvesting / methods / standards AB - BACKGROUND: Bone-grafting procedures are common in head and neck surgery. Donor site morbidity is an important factor in deciding the site for harvest of cancellous bone. The tibia has been recommended as a harvest site. Use of the proximal tibia as a donor site is associated with few complications. Our present study used proximal tibia bone grafts to reconstruct maxillofacial defects and augment bone volume for implantation. METHODS: A retrospective study was undertaken to analyze 40 proximal tibia bone grafts in maxillofacial reconstruction. Minimal follow-up was 6 months. RESULTS: There were no major complications during the follow-up period. Early minor complications (15%) included temporary sensory loss and ecchymosis. Late minor complication (2.5%) was gait disturbance for 2 months. Long-term minor complication (2.5%) was an unsightly scar. CONCLUSION: The procedure for proximal tibia bone graft is easy, has less operative risk, and results in a lower postoperative morbidity rate. Based on our findings, we believe the proximal tibia offers a reliable site for harvest of sufficient quantities of good-quality cancellous bone. VL - 28 CP - 6 N1 - Chen, Yuan-Chien Chen, Chung-Ho Chen, Pai-Li Huang, I-Yueh Shen, Yee-Shyong Chen, Chun-Ming United States Head & neck Head Neck. 2006 Jun;28(6):496-500. ID - 329 ER -