Note technique : prélèvement osseux de crête iliaque chez l’enfant

Bertrand, B.; Philandrianos, C.; Apostolou, N.; Casanova, Dominique; Bardot, J.

doi:10.1016/j.anplas.2013.12.004

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…Because the adult and pediatric anterior iliac crests differ so little, harvesting ICBG in pediatric patients is frequently technique-dependent. The pediatric iliac crest consists of a thick cartilaginous apophysis with medial and lateral cortices that fuse at varying distances from the crest [1][2][3]. These two factors not only reduce the amount of graft available in children, but they also make graft harvesting more sensitive [1].…”

Section: Discussionmentioning

confidence: 99%

“…The pediatric iliac crest consists of a thick cartilaginous apophysis with medial and lateral cortices that fuse at varying distances from the crest [1][2][3]. These two factors not only reduce the amount of graft available in children, but they also make graft harvesting more sensitive [1].…”

Section: Discussionmentioning

confidence: 99%

“…The anterior iliac wing is regarded as the workhorse for maxillofacial osseous reconstruction in pediatric patients. It is an excellent source of cortical, cancellous, and cortical cancellous bone grafts, which can promote bone healing at the recipient site via osseo-conduction, induction, and osteogenic properties [1]. Several graft harvesting techniques have previously been proposed to facilitate graft harvest from the adult anterior iliac wing.…”

Section: Introductionmentioning

confidence: 99%

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Anatomical Basis for Preservation of Cartilaginous Apophysis in Pediatric Patients Undergoing Iliac Crest Bone Graft Harvest: A Cohort Study

Pendem,

Selvarasu,

Krishnan

et al. 2024

Cureus

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BackgroundThe anterior iliac crest is the workhorse for the harvest of cancellous bone in children undergoing cleft alveolar bone grafting. However, the complexity of the anatomy makes the process of harvesting graft technique sensitive. The aim was to describe the outcomes of the medially based trap door method of graft harvest in pediatric patients undergoing cleft alveolar bone grafting. MethodsA cohort study was conducted, including all the patients in the age group of 8-12 years. Alveolar bone grafting was performed after harvesting a cancellous graft from the iliac crest bone grafting (ICBG) using a medially based trap door approach. Intraoperative time, average blood loss, and postoperative outcomes, including pain score, paresthesia, and gait disturbances, were recorded. ResultsA total of 28 patients were included in the study based on the inclusion and exclusion criteria. The volume of cancellous bone harvested was between 4-9 cc. The mean intraoperative time was 42 minutes, with an average blood loss of 36 to 48 ml. The average visual analog scale (VAS) score in the postoperative period was 3.5, 6, and 4 on the first, third, and seventh postoperative days. All the patients were ambulated on the second postoperative day, and none of them reported paresthesia. Long-term evaluation of the anterior illum revealed intact crestal morphology with a bone refill on the posterior-anterior (PA) pelvic X-ray. ConclusionA medially based modified trap door approach is more efficacious and less morbid for the harvest of ICBG in pediatric patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anatomical Basis for Preservation of Cartilaginous Apophysis in Pediatric Patients Undergoing Iliac Crest Bone Graft Harvest: A Cohort Study

Pendem,

Selvarasu,

Krishnan

et al. 2024

Cureus

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“…(4) The inner corticocancellous bone block could be removed through a cartilage flap. Then, the cartilage flap can be reduced to maintain the donor site shape and reduce complications as described by Bertrand et al 32 …”

Section: Educational Message and Conclusionmentioning

confidence: 99%

A Comparative Evaluation of Iliac Crest Cortical-Cancellous Bone Blocks Graft With and Without Concentrated Growth Factors (CGFs) in Secondary Alveolar Bone Grafting: A Retrospective Study

Lai

Jiang

Lü

et al. 2023

Journal of Craniofacial Surgery

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Background: The purpose of this study was to investigate the clinical effect and bone resorption of iliac crest cortical-cancellous bone block grafts combined with concentrated growth factor (CGF) compared with iliac crest cortical-cancellous bone block grafts only in secondary alveolar bone grafting. Materials and Methods: Eighty-six patients (43 in the CGF group and 43 in the non-CGF group) with unilateral alveolar clefts were examined. Patients (17 in the CGF group and 17 in the non-CGF group) were randomly chosen for radiologic evaluation. Quantitative evaluation of the bone resorption rate was made with cone-beam computed tomography and Mimics 19.0 software at 1 week and 12 months after surgery. Results: The success rate of bone grafting was 95.3% and 79.1% in the CGF and non-CGF groups, respectively (P = 0.025). The mean bone resorption rate at 12 months postoperatively was 35.66 ± 15.80% and 41.39 ± 19.57% in the CGF and non-CGF groups, respectively (P = 0.355). The bone resorption patterns of the 2 groups were similar on the labial, alveolar process, and palatal sides, and there was no obvious bone resorption on the labial side in either group. Nasal side bone resorption in the CGF group was significantly less than that in the non-CGF group (P = 0.047).Conclusions: Cortical-cancellous bone block grafts reduce labial bone resorption, while CGF reduces nasal bone resorption and improves the success rate. The combination of bone block and CGF in secondary alveolar bone grafting is worthy of further clinical application.

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Comparison of two preserved cartilage iliac crest cortical-cancellous bone blocks graft harvesting techniques in children: A prospective, double-blind, randomized clinical trial

Lai,

Chuanqing,

Zhiyu

et al. 2023

Journal of Cranio-Maxillofacial Surgery

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Note technique : prélèvement osseux de crête iliaque chez l’enfant

Cited by 3 publications

References 5 publications

Anatomical Basis for Preservation of Cartilaginous Apophysis in Pediatric Patients Undergoing Iliac Crest Bone Graft Harvest: A Cohort Study

Anatomical Basis for Preservation of Cartilaginous Apophysis in Pediatric Patients Undergoing Iliac Crest Bone Graft Harvest: A Cohort Study

A Comparative Evaluation of Iliac Crest Cortical-Cancellous Bone Blocks Graft With and Without Concentrated Growth Factors (CGFs) in Secondary Alveolar Bone Grafting: A Retrospective Study

Comparison of two preserved cartilage iliac crest cortical-cancellous bone blocks graft harvesting techniques in children: A prospective, double-blind, randomized clinical trial

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