Improved Success Rate with Corticocancellous Block Compared to Cancellous-Only Trephine Technique in Alveolar Bone Grafting from the Iliac Crest

Abstract

econstruction of the maxillary alveolar process is an important step in the treatment of patients with cleft lip and palate. Bony continuity of the arch allows for maintenance of maxillary width, stability during orthognathic surgery, elimination of oronasal fistulae, nasal base support, proper dental eruption, and support of orthodontic movements. 1,2 Reconstruction of the alveolar cleft was first described by von Eiselberg at the turn of the twentieth century and, since then, various techniques have been described, including those originating from rib, tibia, mandible, and cranium. 1,3-5 Schmid first described grafting iliac bone into the alveolar cleft in 1954, and since then the iliac crest has become the most commonly used donor site for alveolar reconstruction. 6 Iliac bone has many advantages, including

Induced membrane technique using beta-tricalcium phosphate for reconstruction of clavicle bone defect after fracture related infection - A case report

“…In addition, the development of the IMT method, as reported by Masquelet et al, has been successful in achieving good bone formation via autologous cancellous bone grafting and in reducing the risk of complications at the donor site [ 2 , 3 ]. However, postoperative complications at the donor site (pain, prolonged surgical time, donor site fracture, and nonunion) could not be completely prevented [ 8 , 9 ]. In addition, a sufficient autogenous cancellous bone may not be harvested from the iliac bone.…”

Interpositional bone graft with cortical and cancellous calvarial bone for addressing the bone gap after reduction malarplasty: a case report

“…Cancellous bone grafts have superior osteoconduction, osteoinduction, and osteogenesis properties, serving as scaffolds for bone regeneration and ensuring gradual ossification as the bone gap is filled [2,12]. Furthermore, cortical bone inserted as an onlay graft provides a bone bridge for bone formation and osteoconduction, offering support against soft tissue collapse and achieving greater bone volume [13,14]. Therefore, using cortical and cancellous calvarial bone enables a stable intraoral interpositional bone graft.…”