Sulcular translation flap in secondary bone grafting: retrospective study of 72 alveolar clefts

Abstract Secondary bone grafting from the iliac crest is the gold standard in the reconstruction of maxillary alveolar bone defects in cleft patients. Numerous techniques for this graft have been described, although none is considered clearly superior at this time. A retrospective chart study was pe...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2015-08, Vol.44 (8), p.965-970
Main Authors: Paris, M, Paquin, R, Valcourt, A.-C
Format: Article
Language:English
Subjects:
Adolescent
alveolar cleft
Alveolar Process - abnormalities
Alveolar Process - surgery
Bone Transplantation - methods
Child
Cleft Palate - surgery
Dentistry
Female
fistula
gingival flap
Humans
Ilium - transplantation
Male
Maxilla - surgery
Reconstructive Surgical Procedures - methods
Retrospective Studies
secondary bone grafting
Surgery
Surgical Flaps
Treatment Outcome
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Summary:Abstract Secondary bone grafting from the iliac crest is the gold standard in the reconstruction of maxillary alveolar bone defects in cleft patients. Numerous techniques for this graft have been described, although none is considered clearly superior at this time. A retrospective chart study was performed of 72 alveolar clefts in 59 patients who underwent an alveolar iliac crest bone graft with nasal floor reconstruction, with or without concomitant secondary cheilorhinoplasty. Forty-four patients were included in the bone grafting group and 15 in the concomitant cheilorhinoplasty group. Both groups had a sulcular translation mucoperiosteal flap with anterior repositioning of the gingival papilla as the preferred intraoral flap technique. One-third of patients had undergone previous attempts at oronasal fistula closure. Results showed 100% Bergland stage 1 in the cheilorhinoplasty group and 96% in the bone graft group. Two failures (stage 4) were observed in the bone graft group. The infection rate was 9% in the cheilorhinoplasty group and 2% in the bone graft group. Of clefts in the bone graft group, 10% showed postoperative residual fistulas; none were observed in the cheilorhinoplasty group. The sulcular translation flap is a simple surgical approach and shows a low complication rate.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2015.04.005