Alveolar Cleft Management With Iliac Bone Graft : A Case Report
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Published:
Jun 7, 2018
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Abstract
The alveolar cleft grafting is the one of considerations for surgical global treatment of the cleft patient. However, there were the controversies in timing of surgical repair and source of graft material. Iliac bone is the popular choice of donor site for alveolar cleft grafting. The success of treatment depend on proper treatment planning and good surgical techniques. The aim of this case report is to present alveolar cleft grafting in cleft patient by using iliac cancellous bone. The case report is a 14-year-old Thai boy who was born with bilateral incomplete cleft lip and cleft palate. He was referred from the orthodontist to repair right alveolar defect. The residual right alveolar cleft and oronasal fistula were surgical correction by using autogenous iliac cancellous bone graft.No intraoperative and postoperative complication occurred. This case report showed the clinical and radiographic follow up for six months, the alveolar cleft defect was successfully reconstructed with iliac cancellous graft to achieve firm anatomic base for orthodontic and prosthodontic results.
Conclusion: The iliac cancellous bone is the alternative grafting material in alveolar cleft repair.
Article Details
How to Cite
Unchuleeporn, C. (2018). Alveolar Cleft Management With Iliac Bone Graft : A Case Report. MEDICAL JOURNAL OF SISAKET SURIN BURIRAM HOSPITALS, 29(2), 61–71. retrieved from https://he02.tci-thaijo.org/index.php/MJSSBH/article/view/127601
Section
Case Report
References
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2. บวรศิลป์ เชาวน์ชื่น, นิตา วิวัฒนะทีปะ. การรักษาการแหว่งของลันเหงือก ใน: บวรศิลป์ เชาวน์ชื่น, เบญจมาศ พระธานี, จารุณี รัตนยาติกุล; บรรณาธิการ. การดูแลแบบสหวิทยาการของผู้ป่วยปากแหว่งเพดานโหว่ และความพิการแต่กำเนิดของใบหน้าและกะโหลกศีรษะ. ขอนแก่น : คิริภัณฑ์ ออฟเซ็ท; 2547:382-92.
3. Freide H, Johanson B. A follow-up study of cleft children treated with primary bone grafting. Part I: orthodontic aspects. Scand J Plast Reconstr Surg 1974;8:88-103.
4. Prickrell K, Quinn G, Massengill R. Primary bone grafting of the maxilla in clefts of the lip and palate. Plast Reconstr Surg 1968;41:438-43.
5. Rehrmann AH, Koberg WR, Koch H. Long-term postoperative results of primary and secondary bone grafting in complete clefts of lip and palate. Cleft Palate J 1970;7:206-21.
6. Rosenstein SW, Monroe CW, Kernahan DA. The case for early bone grafting in the cleft lip and palate. Plast Reconstr Surg 1982;70:297-307.
7. Boyne PJ, Sands NR. Secondary bone grafting of residual alveolar and palatal defects. J Oral Maxillofac Surg 1972;30:87-92.
8. Boyne PJ, Sands NR. Combined orthodontic-surgical management of residual palate-alveolar cleft defect. Am J Orthod 1976;70:20-37.
9. Eppley BL, Sadove AM. Alveolar cleft management. In: Vander Kolk CA, editor. Plastic surgery: indications, operations and outcomes. St. Louis : Mosby; 2000:809-17.
10. Bergland O, Semb G, Abyholm FE. Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J 1986;23:175-205.
11. Ross RB. Treatment variables affecting facial growth in complete unilateral cleft lip and palate. Cleft Palate J 1987;24:5-77
12. Precious DS. A new reliable method for alveolar bone grafting at about 6 years of age. J Oral Maxillofac Surg 2009;67:2045-53.
13. Rawashdeh MA, Al Nimri KS. Outcome of secondary alveolar bone grafting before and after eruption of the canine in Jordanian patients with cleft and palate. J Craniofac Surg 2007;18:1331-7.
14. Almasri M. Reconstruction of the alveolar cleft: effect of preoperative extraction of deciduous teeth at the sites of clefts on the incidence of postoperative complications. Br J Oral Maxillofac Surg 2012;50:154-6.
15. Feichtinger M, Mossbock R, Karcher H. Assessment of bone resorption after secondary alveolar bone grafting using three-dimensional computed tomography: a three-year study. Cleft Palate Craniofac J 2007;44:142-8.
16. Vitepom S, Enemark H, Melsen B. Postnatal Craniofacial skeletal development following a push back operations of patients with cleft palate. Cleft palate-Craniofac J 1991;28:392-9.
17. Eppley BL, Sadove AM. Management of alveolar cleft bone grafting - state of the art. Cleft palate-Craniofac J 2000;37:229-33.
18. Vig K, Turvey T, Fonseca R. Orthodontic and surgical considerations in bone grafting in the cleft maxilla and palate. In: Turvey T, Fonseca R, editors. Facial clefts and craniosynostosis: principles and management. Philadelphia : W.B. Saunders; 1996:396-439.
19. Semb G. Effects of alveolar bone grafting on maxillary growth in unilateral cleft lip and palate patients. Cleft Palate J 1988;25:288-95.
20. Amanat N, Langdon JD. Secondary alveolar bone grafting in clefts of the lip and palate.J Craniomaxillofac Surg 1991;19:7-14.
21. Enemark H, Simonsen EK, Schramm JE. Secondary bone grafting in unilateral cleft lip palate patients: indication and treatment procedure. Int J Oral Surg 1985;14:2-10.
22. สมรตรี วิถีพร. ทันตกรรมจัดฟันในผู้ป่วยปากแหว่งเพดานโหว่. กรุงเทพฯ : จุฬาลงกรณ์มหาวิทยาลัย; 2537:123-55.
23. Kurz LW, Garfin SR, Booth RE. Harvesting autogenous iliac bone grafts: a review of complications and techniques. Spines 1989;14:1324-31.
24. Johnson PJ, Hollins RR, Sotereanos G. Alveolar cleft. In: Benz ML, editor. Pediatric plastic surgery. Stamford & Connecticus : Appleton & Lange; 1998:107-20.
25. Boustrad AM, Fernandes D, Van Zyl AE. Minimally invasive iliac cancellous bone graft harvesting. Plast Reconstr Surg 1997;99:1760-1.
26. Cohen M, Polley JW, Figueroa AA. Secondary (intermediate) alveolar bone grafting. Clin Plast Surg 1993;4:691-705.
27. Mowlem AR. Cancellous chip bone graft. Report of 75 cases. Lancet 1994;2:746.
28. Marx RE. Philosophy and particulars of autogenous bone grafting. In: Macintosh RB, editor. Autogenous grafting in oral and maxillofacial surgery. Philadelphia : W.B. Saunders; 1993:599-612.
29. Silman MA. Dimensional changes of the dental arches: Longitudinal study from birth to 25 years. Am J Orthod 1964;50:824.
30. Jia YL, Fu MK, Ma L. Long-term outcome of secondary alveolar bone grafting in patients with various types of cleft. Br J Oral Maxillofac Surg 2006;44:308.
31. Eppley BL. Alveolar cleft bone grafting (part 1): primary bone grafting. J Oral Maxillofac Surg 1996;54:74-82.
2. บวรศิลป์ เชาวน์ชื่น, นิตา วิวัฒนะทีปะ. การรักษาการแหว่งของลันเหงือก ใน: บวรศิลป์ เชาวน์ชื่น, เบญจมาศ พระธานี, จารุณี รัตนยาติกุล; บรรณาธิการ. การดูแลแบบสหวิทยาการของผู้ป่วยปากแหว่งเพดานโหว่ และความพิการแต่กำเนิดของใบหน้าและกะโหลกศีรษะ. ขอนแก่น : คิริภัณฑ์ ออฟเซ็ท; 2547:382-92.
3. Freide H, Johanson B. A follow-up study of cleft children treated with primary bone grafting. Part I: orthodontic aspects. Scand J Plast Reconstr Surg 1974;8:88-103.
4. Prickrell K, Quinn G, Massengill R. Primary bone grafting of the maxilla in clefts of the lip and palate. Plast Reconstr Surg 1968;41:438-43.
5. Rehrmann AH, Koberg WR, Koch H. Long-term postoperative results of primary and secondary bone grafting in complete clefts of lip and palate. Cleft Palate J 1970;7:206-21.
6. Rosenstein SW, Monroe CW, Kernahan DA. The case for early bone grafting in the cleft lip and palate. Plast Reconstr Surg 1982;70:297-307.
7. Boyne PJ, Sands NR. Secondary bone grafting of residual alveolar and palatal defects. J Oral Maxillofac Surg 1972;30:87-92.
8. Boyne PJ, Sands NR. Combined orthodontic-surgical management of residual palate-alveolar cleft defect. Am J Orthod 1976;70:20-37.
9. Eppley BL, Sadove AM. Alveolar cleft management. In: Vander Kolk CA, editor. Plastic surgery: indications, operations and outcomes. St. Louis : Mosby; 2000:809-17.
10. Bergland O, Semb G, Abyholm FE. Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J 1986;23:175-205.
11. Ross RB. Treatment variables affecting facial growth in complete unilateral cleft lip and palate. Cleft Palate J 1987;24:5-77
12. Precious DS. A new reliable method for alveolar bone grafting at about 6 years of age. J Oral Maxillofac Surg 2009;67:2045-53.
13. Rawashdeh MA, Al Nimri KS. Outcome of secondary alveolar bone grafting before and after eruption of the canine in Jordanian patients with cleft and palate. J Craniofac Surg 2007;18:1331-7.
14. Almasri M. Reconstruction of the alveolar cleft: effect of preoperative extraction of deciduous teeth at the sites of clefts on the incidence of postoperative complications. Br J Oral Maxillofac Surg 2012;50:154-6.
15. Feichtinger M, Mossbock R, Karcher H. Assessment of bone resorption after secondary alveolar bone grafting using three-dimensional computed tomography: a three-year study. Cleft Palate Craniofac J 2007;44:142-8.
16. Vitepom S, Enemark H, Melsen B. Postnatal Craniofacial skeletal development following a push back operations of patients with cleft palate. Cleft palate-Craniofac J 1991;28:392-9.
17. Eppley BL, Sadove AM. Management of alveolar cleft bone grafting - state of the art. Cleft palate-Craniofac J 2000;37:229-33.
18. Vig K, Turvey T, Fonseca R. Orthodontic and surgical considerations in bone grafting in the cleft maxilla and palate. In: Turvey T, Fonseca R, editors. Facial clefts and craniosynostosis: principles and management. Philadelphia : W.B. Saunders; 1996:396-439.
19. Semb G. Effects of alveolar bone grafting on maxillary growth in unilateral cleft lip and palate patients. Cleft Palate J 1988;25:288-95.
20. Amanat N, Langdon JD. Secondary alveolar bone grafting in clefts of the lip and palate.J Craniomaxillofac Surg 1991;19:7-14.
21. Enemark H, Simonsen EK, Schramm JE. Secondary bone grafting in unilateral cleft lip palate patients: indication and treatment procedure. Int J Oral Surg 1985;14:2-10.
22. สมรตรี วิถีพร. ทันตกรรมจัดฟันในผู้ป่วยปากแหว่งเพดานโหว่. กรุงเทพฯ : จุฬาลงกรณ์มหาวิทยาลัย; 2537:123-55.
23. Kurz LW, Garfin SR, Booth RE. Harvesting autogenous iliac bone grafts: a review of complications and techniques. Spines 1989;14:1324-31.
24. Johnson PJ, Hollins RR, Sotereanos G. Alveolar cleft. In: Benz ML, editor. Pediatric plastic surgery. Stamford & Connecticus : Appleton & Lange; 1998:107-20.
25. Boustrad AM, Fernandes D, Van Zyl AE. Minimally invasive iliac cancellous bone graft harvesting. Plast Reconstr Surg 1997;99:1760-1.
26. Cohen M, Polley JW, Figueroa AA. Secondary (intermediate) alveolar bone grafting. Clin Plast Surg 1993;4:691-705.
27. Mowlem AR. Cancellous chip bone graft. Report of 75 cases. Lancet 1994;2:746.
28. Marx RE. Philosophy and particulars of autogenous bone grafting. In: Macintosh RB, editor. Autogenous grafting in oral and maxillofacial surgery. Philadelphia : W.B. Saunders; 1993:599-612.
29. Silman MA. Dimensional changes of the dental arches: Longitudinal study from birth to 25 years. Am J Orthod 1964;50:824.
30. Jia YL, Fu MK, Ma L. Long-term outcome of secondary alveolar bone grafting in patients with various types of cleft. Br J Oral Maxillofac Surg 2006;44:308.
31. Eppley BL. Alveolar cleft bone grafting (part 1): primary bone grafting. J Oral Maxillofac Surg 1996;54:74-82.
