Alveolar cleft closure with iliac bone graft: a case report.

Objective: The present article is to report a case of a patient with alveolar cleft that was treated with the application of iliac bone graftMethods: A nine year-old girl with maxillary alveolar cleft had labioplasty and palatoplasty. The cleft was closed using iliac bone graft and the result was the canine erupts on the graft site get a better alveolar arch, and no more oronasal fistule. Alveolar cleft can be treated by the use of iliac bone graft.Results: Based on the clinical and radiographic development of the patient, the treatment for overall seemed success with the obtain of maxillary arch continuity, provide bone that is available for permanent canine to erupt, optimal alar base reconstruction, the fistulae was eliminated, provide a better nasal alar cartilage support, get a stabil the maxillary segment for orthodontic treatment, and obtain an ideal alveolar morphology.Conclusion: The timing of alveolar bone grafting usually associated with the state of the developing of dentition. Post operative management is important to get a good result, and to prevent any complications.

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The Effects of Secondary Cleft Procedures on Alar Base Position and Nostril Morphology in Patients with Unilateral Clefts

The Cleft Palate-Craniofacial Journal ◽

10.1597/15-158 ◽

2017 ◽

Vol 54 (4) ◽

pp. 431-435 ◽

Cited By ~ 4

Author(s):

Stephanie M. Power ◽

Damir B. Matic

Keyword(s):

Bone Graft ◽

Cleft Lip ◽

Alveolar Bone ◽

Nonparametric Tests ◽

Single Stage ◽

Base Position ◽

Alar Base ◽

Alveolar Bone Grafting ◽

Tertiary Center ◽

Long Term Follow Up

Objective To compare effects of secondary cleft procedures on alar base position and nostril morphology. Design Retrospective review. Setting Multidisciplinary cleft clinic at tertiary center. Patients, Participants Seventy consecutive patients with unilateral clefts were grouped according to secondary procedure. Interventions Alveolar bone graft versus total lip takedown with anatomic muscle repair versus single-stage total lip with cleft septorhinoplasty (nose-lip) versus rhinoplasty alone. Main Outcome Measures Anthropometric measurements were recorded from pre- and postoperative photographs. Ratios of cleft to noncleft side were compared within and across groups pre- and postoperatively using parametric and nonparametric tests. Results Within the bone graft group, no differences were seen postoperatively in alar base position in long-term follow-up. The total lip group demonstrated greater symmetry at the alar base ( P < .001), increased vertical lip dimension ( P < .001), and decreased nostril height ( P = .004) postoperatively. Within the nose-lip group, increased vertical dimension and alar base support ( P < .001) were also seen postoperatively. Across groups, the single-stage nose-lip group demonstrated greatest alar base symmetry on worm's-eye view ( P < .04). Conclusions Alar base asymmetry in patients with unilateral clefts may be related to soft tissue deficiency and was not affected by alveolar bone grafting. Total lip takedown with anatomic muscle reapproximation was associated with increased alar base symmetry and vertical lip dimension on cleft to noncleft side. Greatest symmetry at the alar base was seen following single-stage nose-lip reconstruction, which may be an effective technique for correcting the secondary cleft lip nasal deformity.

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Comparison of Minimally Invasive versus Conventional Open Harvesting Techniques for Iliac Bone Graft in Secondary Alveolar Cleft Patients

Plastic & Reconstructive Surgery ◽

10.1097/prs.0b013e31821b6336 ◽

2011 ◽

Vol 128 (2) ◽

pp. 485-491 ◽

Cited By ~ 25

Author(s):

Sheel Sharma ◽

Lisa F. Schneider ◽

Jason Barr ◽

Shahram Aarabi ◽

Patricia Chibbaro ◽

...

Keyword(s):

Minimally Invasive ◽

Bone Graft ◽

Iliac Bone ◽

Alveolar Cleft ◽

Iliac Bone Graft ◽

Harvesting Techniques

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AN INNOVATIVE APPROACH IN THE MANAGEMENT OF ALVEOLAR CLEFTS WITH BONE GRAFT HARVEST FROM MAXILLARY TUBEROSITY AND MANDIBULAR WISDOM MOLAR ODONTECTOMY SITES- A CASE REPORT

10.22541/au.163765232.26613294/v1 ◽

2021 ◽

Author(s):

Symon Guthua ◽

Peter Ng'ang'a ◽

Krishan Sarna ◽

Martin Kamau

Keyword(s):

Case Report ◽

Bone Graft ◽

Alveolar Bone ◽

Graft Material ◽

Alveolar Cleft ◽

Graft Harvest ◽

Alveolar Bone Grafting ◽

Complex Procedure ◽

Maxillary Tuberosity ◽

The Ideal

Alveolar bone grafting is a complex procedure utilized in alveolar cleft repair, however, the ideal site of bone graft material remains highly debated. In this paper, we describe the management of a 14 year old female with bilateral alveolar clefts using alternative intra-oral donor sites for bone graft harvest.

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Comparison of minimally invasive versus conventional open harvesting technique for iliac bone graft in secondary alveolar bone grafting in cleft palate patients: a systematic review

Journal of the Korean Association of Oral and Maxillofacial Surgeons ◽

10.5125/jkaoms.2019.45.5.241 ◽

2019 ◽

Vol 45 (5) ◽

pp. 241 ◽

Cited By ~ 2

Author(s):

Aditi Saha ◽

Sonal Shah ◽

Pushkar Waknis ◽

Prathamesh Bhujbal ◽

Sharvika Aher ◽

...

Keyword(s):

Systematic Review ◽

Minimally Invasive ◽

Cleft Palate ◽

Bone Graft ◽

Bone Grafting ◽

Alveolar Bone ◽

Harvesting Technique ◽

Iliac Bone Graft ◽

Alveolar Bone Grafting ◽

Secondary Alveolar Bone Grafting

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Reduced Need for Alveolar Bone Grafting by Presurgical Orthopedics and Primary Gingivoperiosteoplasty

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_1998_035_0077_rnfabg_2.3.co_2 ◽

1998 ◽

Vol 35 (1) ◽

pp. 77-80 ◽

Cited By ~ 58

Author(s):

Pedro E. Santiago ◽

Barry H. Grayson ◽

Court B. Cutting ◽

Mark P. Gianoutsos ◽

Lawrence E. Brecht ◽

...

Keyword(s):

Bone Graft ◽

Bone Grafting ◽

Alveolar Bone ◽

Mixed Dentition ◽

Primary Study ◽

Control Group ◽

Dental Ct ◽

Alveolar Cleft ◽

Alveolar Bone Grafting ◽

Presurgical Orthopedics

Objective The purpose of this study was to evaluate if narrowing and approximation of the alveolar cleft through presurgical alveolar molding followed by gingivoperiosteoplasty (GPP) at the time of lip repair reduces the need for a bone-grafting procedure. Design This was a retrospective blind study of patients with unilateral or bilateral alveolar clefts who underwent presurgical infant alveolar molding and GPP by a single surgeon. Alveolar bone formation was assessed prior to the eruption of the maxillary lateral incisor or canine by clinical examination, panoramic and periapical radiographs, and/or a dental CT scan. The criterion for bone grafting was inadequate bone stock to permit the eruption and maintenance of the permanent dentition. Setting This study was performed at the Institute of Reconstructive Plastic Surgery by the members of the Cleft Palate Team. Patients All patients with unilateral (n = 16) or bilateral (n = 2) alveolar clefts who underwent presurgical infant alveolar molding and GPP by a single surgeon from 1985 to 1988 were studied. The control population consisted of all alveolar cleft patients (n = 14) who did not undergo alveolar modeling or GPP during the same time period. Interventions Presurgical alveolar modeling was performed with an intraoral acrylic molding plate. This plate was modified on a weekly basis to align the alveolar segments and close the alveolar gap. The surgical intervention consisted of a modified Millard GPP. Main outcome Measures The primary study outcome measure was the elimination of the need for a secondary bone graft in patients who underwent presurgical alveolar molding and GPP. Results Of the 20 sites in the 18 patients who underwent GPP, 12 sites did not require an alveolar bone graft. Of the 8 sites requiring a bone graft, 4 presented minimal bony defects. All 14 patients in the control group required bone grafts. Conclusions In this series of 20 alveolar cleft sites treated with presurgical orthopedics and GPP, 60% did not need a secondary alveolar bone graft in the mixed dentition.

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A CASE REPORT OF ELIMINATION OF ALVEOLAR DEFECTS BY SECONDARY BONE GRAFTING.

International Journal of Medical Science and Diagnosis Research ◽

10.32553/ijmsdr.v4i9.665 ◽

2020 ◽

Vol 4 (9) ◽

Author(s):

Charan Teja Vemagiri ◽

Damera Srikanth ◽

Chandrababu V ◽

Siva Ganesh

Keyword(s):

Case Report ◽

Bone Graft ◽

Bone Grafting ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Alveolar Bone ◽

Iliac Bone Graft ◽

Alveolar Bone Grafting ◽

Successful Rehabilitation ◽

Secondary Alveolar Bone Grafting

The secondary alveolar bone grafting is an integral component of contemporary rehabilitation of the patients with cleft lip and palate with alveolar defects. Iliac bone graft is frequent secondary graft used in the correction of alveolar defects. There is successful rehabilitation of osseous component post operatively.

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Two-Stage Reconstruction of Bilateral Alveolar Cleft Using Y-Shaped Anterior-Based Tongue Flap and Iliac Bone Graft

The Cleft Palate-Craniofacial Journal ◽

10.1597/1545-1569_2001_038_0432_tsroba_2.0.co_2 ◽

2001 ◽

Vol 38 (5) ◽

pp. 432-437 ◽

Cited By ~ 7

Author(s):

Myung-Jin Kim ◽

Jong-Ho Lee ◽

Jin-Young Choi ◽

Nara Kang ◽

Jong-Hwan Lee ◽

...

Keyword(s):

Bone Graft ◽

Bone Grafting ◽

Iliac Bone ◽

Distal Margin ◽

Two Stage ◽

Direct Closure ◽

Palatal Fistula ◽

Alveolar Cleft ◽

Tongue Flap ◽

Iliac Bone Graft

Objective: When an alveolar cleft is too large to close with adjacent mucobuccal flaps or large secondary fistula following a primary bilateral palatoplasty exists, a one-stage procedure for bone grafting becomes challenging. In such a case, we have used the tongue flap to repair the fistula and cleft alveolus followed by bone grafting to the cleft defect performed several months later. The purpose of this article is to report on our experiences with the use of an anteriorly based Y-shaped tongue flap to fit the palatal and labial alveolar defects and on the ultimate result of the bone graft. Patients: A series of 14 patients were treated with this approach from January 1994 to December 1998. The average age of the patients was 15.8 years (range 5 to 28 years). The mean period of follow-up following the second stage bone graft operation was 45.9 months (range 9 to 68 months). In 9 of the 14 patients, the long-fork type of a Y-shaped tongue flap was used for extended coverage of the labial-side alveolar defects with the palatal fistula; in the remaining patients, the short-forked design was used. Results: All patients demonstrated a good clinical result after the initial repair of cleft alveolus and palatal fistula. There was no fistula recurrence, although partial necrosis of distal margin in long-forked tongue flap occurred in one patient. Furthermore, the bone graft, which was performed an average of 8 months after the tongue flap repair, was always successful. Occasionally, transferred tongue tissue bulging interfered with the hygienic care of nearby teeth; however, these problems could be solved with proper contour-plasty performed afterward. No donor site complications such as sensory disturbance, change in taste, limitations in tongue movement, normal speech impairments, or tongue disfigurement were encountered. Conclusion: This two-stage reconstruction of a bilateral cleft alveolus using a Y-shaped tongue flap and iliac bone graft was very successful. It may be indicated for a bilateral cleft alveolus patient in which the direct closure of the cleft defect with adjacent tissue or the buccal flap is not easy because of scarred fibrotic mucosa and accompanied residual palatal fistula.

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