The Case for Early Bone Grafting in Cleft Lip and Cleft Palate

Rosenstein, Sheldon W.; Monroe, Clarence W.; Kernahan, Desmond A.; Jacobson, Bailey N.; Griffith, B. Herold; Bauer, Bruce S.

doi:10.1097/00006534-198209000-00001

Cited by 89 publications

(19 citation statements)

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“…It may be performed as a primary procedure at the time of the first closing operations (Rosenstein et al, 1991) or as a secondary procedure late at the age of 9e11 years when the canine root development is between a quarter to two thirds of its final root length. It can also be performed as an early secondary procedure focussing on the goal to support a normal development and eruption of all teeth in the cleft region, the central and lateral incisor and the canine, which is just prior to the eruption of the central incisor at the age of 5e7 years (Sindet-Petersen and Enemark 1985;Amanat and Langdon, 1991;Kortebein et al 1991;Lilja et al, 2000;Rosenstein et al, 2003;Ozawa et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Despite the almost universal agreement of the desirability of bone grafting, there is little agreement on the optimal time and the kind of bone to be used. The two most common options regarding the time of bone grafting are bone grafting in infancy at the time of primary surgery (Rosenstein et al, 1991) and secondary bone grafting in the mixed dentition (Bergland et al, 1986;Semb and Ramstad, 1999;Ozawa et al, 2007;Zemann et al, 2007). At present the main sources of autogenous bone are iliac crest, calvarium and mandibular symphysis.…”

Section: Introductionmentioning

confidence: 99%

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Primary osteoplasty using calvarian bone in patients with cleft lip, alveolus and palate

Eichhorn¹,

Blessmann

Pohlenz

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Primary osteoplasty using calvarian bone in patients with cleft lip, alveolus and palate

Eichhorn¹,

Blessmann

Pohlenz

et al. 2009

Journal of Cranio-Maxillofacial Surgery

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“…7,15 Bone harvest from this site, however, has the disadvantage of the need for a separate donor site with its inherent morbidity. The complications of the anterior iliac approach include prolonged post-operative pain, [16][17][18] altered gait, 10,19 sensory nerve damage, 17,18 poor scar placement and altered bone contour, 18 delayed healing, 18 herniation of abdominal contents, 11 clicking during walking, 18 ilium fracture, 20 peritonitis, 6 excessive blood loss 18 and rarely retroperitoneal haematoma. 21 The precise cause of donor site pain remains obscure.…”

Section: Discussionmentioning

confidence: 99%

An investigation of post-operative morbidity following iliac crest graft harvesting

2004

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Objective A study which examined the morbidity experienced by patients who underwent iliac crest bone graft procedures. Design A post-operative questionnaire was forwarded to patients who underwent iliac crest bone graft procedures at a single centre. Subjects One hundred and fourteen patients underwent iliac crest bone grafts for intra-oral augmentation. Results Ninety-eight patients (80%) returned post-operative questionnaires. Eighty of the 98 (81.6%) patients suffered postoperative pain with 70% of patients being pain-free after four weeks. However, 10% of patients experienced pain for more than 16 weeks. Eighty-five (86.7%) patients were able to walk without any difficulties six weeks post-operatively. Gait disturbance was not related with age, however there was a significant association between pain and disturbance of gait (P< 0.001). Twenty two patients required the use of a walking stick and the use of such aids varied from 0.5 to 26 weeks. Women used walking aids for longer periods than men (P< 0.05). Twenty five patients had altered sensation with about half of them experiencing altered sensation in the distribution of the lateral femoral cutaneous nerve. Other morbidities included deformity at the hip site (2.4%), haematoma (2.4%), infection (3.2%), stress fracture (4.1%) and meralgia paraesthetica in one patient. Despite the above morbidities, 82 patients were willing to undergo the same procedure again and 89 patients would recommend the procedure to their relatives and friends. Conclusion This study demonstrates considerable morbidity following anterior iliac crest bone harvest for intra-oral augmentation. Clinicians referring patients for such bone graft procedures must be aware of the above morbidities so that any patients referred for such procedures are fully informed.Teeth are usually lost as a result of disease or trauma but some patients may have congenitally missing teeth. One of the key elements involved in successful prosthetic rehabilitation is the

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“…Donor sites for harvesting cancellous bone include the iliac crest 2,3 , tibia 9 , mandible 20 , ribs 16 and skull 22 . Among these bones, the properties, the osteogenic potential and the amount that can be collected differ, so the choice of optimal donor site must consider the size and architecture of the cleft.…”

mentioning

confidence: 99%

Analysis of bone volume using computer simulation system for secondary bone graft in alveolar cleft

Shirota

Kurabayashi

Ogura

et al. 2010

International Journal of Oral and Maxillofacial Surgery

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The Case for Early Bone Grafting in Cleft Lip and Cleft Palate

Cited by 89 publications

References 0 publications

Primary osteoplasty using calvarian bone in patients with cleft lip, alveolus and palate

Primary osteoplasty using calvarian bone in patients with cleft lip, alveolus and palate

An investigation of post-operative morbidity following iliac crest graft harvesting

Analysis of bone volume using computer simulation system for secondary bone graft in alveolar cleft

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