Comparison between combined cortical and cancellous bone graft and cancellous bone graft in alveolar cleft: Retrospective study of complications during the first six months post-surgery

In patients with alveolar cleft, alveolar bone graft is usually performed before the permanent maxillary canine or incisor eruption and using cancellous bone harvested from the iliac crest. The authors sought to compare the early complication rate in patients who received cancellous bone graft alone...

Full description

Saved in:
Bibliographic Details
Published in:Journal of cranio-maxillo-facial surgery 2020-01, Vol.48 (1), p.38-42
Main Authors: Vandeputte, Thomas, Bigorre, Michèle, Tramini, Paul, Captier, Guillaume
Format: Article
Language:English
Subjects:
Alveolar bone graft
Alveolar Bone Grafting
Autograft
Bone regeneration
Bone Transplantation
Cancellous Bone
Cleft Lip
Cleft lip and palate
Cleft Palate
Dentistry
Human health and pathology
Humans
Life Sciences
Post-operative complications
Retrospective Studies
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In patients with alveolar cleft, alveolar bone graft is usually performed before the permanent maxillary canine or incisor eruption and using cancellous bone harvested from the iliac crest. The authors sought to compare the early complication rate in patients who received cancellous bone graft alone and cortical bone graft in addition to cancellous bone to reconstruct the nasal floor. For this observational, retrospective, monocentric study, patients with alveolar cleft who underwent autologous alveolar bone graft and gingivoperiosteoplasty at Montpellier Hospital were divided into two groups: group A, who had cortical and cancellous bone graft; and group B, who had only cancellous bone graft. Both groups were followed for 6 months after surgery, and complications were recorded. In total, 319 grafts (group A, 163; group, 156) were performed from June 1999 to May 2016. The major complication rates were 8% and 5.8% in group A and B, respectively, and were not significantly different (p = 0.52). Similarly, the rates of minor complications and of donor site morbidity were not different between groups. This preliminary study shows that adding a cortical bone graft for the nasal floor reconstruction does not increase the risk of complications in 6 months following the graft. Long-term benefits such as alveolar height and a piriform aperture symmetrisation will have to be analysed to study the contribution of the technique.
ISSN:1010-5182
1878-4119
DOI:10.1016/j.jcms.2019.11.013