Consequence of Synthetic Bone Substitute Used for Alveolar Cleft Graft Reconstruction (Preliminary Clinical Study)

被引:1
作者
Al-Rawee, Rawaa Y. [1 ]
Tawfeeq, Bashar Abdul-Ghani [4 ]
Hamodat, Ahmed Mothafar [3 ]
Tawfek, Zaid Salim [2 ]
机构
[1] Al Salam Teaching Hosp, Dept Oral & Maxillofacial Surg, Mosul, Iraq
[2] Alnoor Univ Coll, Paedo Ortho Prevent Dept, Mosul, Iraq
[3] Al Khansa Teaching Hosp, Dept Pediat Surg, Mosul, Iraq
[4] Al Noor Univ Coll, Dept Oral & Maxillofacial Surg, Mosul, Iraq
来源
ARCHIVES OF PLASTIC SURGERY-APS | 2023年 / 50卷 / 05期
关键词
alveolus grafting; synthetic bone substitute; secondary bone grafting; alveolar cleft; reconstruction; ALLOGRAFT; AUTOGRAFT; OUTCOMES;
D O I
10.1055/a-2113-3084
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background The outcome of alveolar grafting with synthetic bone substitute (Osteon III) in various bone defect volumes is highlighted. Methods A prospective study was accomplished on 55 patients (6-13 years of age) with unilateral alveolar bone cleft. Osteon III, consisting of hydroxyapatite and tricalcium phosphate, is used to reconstruct the defect. Alveolus defect diameter was calculated before surgery ( V1), after 3months (V2), and finally after 6months (V3) postsurgery. In the t-test, a significant difference and correlation between V1, V2, and V3 are stated. A p-value of 0.01 is considered a significant difference between parameters. Results The degree of cleft is divided into three categories: small (9 cases), medium ( 20 patients), and large (26 cases).The bone volume of the clefted site is divided into three steps: volume 1: (mean 18.1091mm(3)); step 2: after 3 months, volume 2 resembles the amount of unhealed defect (mean 0.5109mm(3)); and the final bone volume assessment is made after 6 months (22.5455mm(3)). Both show statistically significant differences in bone volume formation. Conclusion An alloplastic bone substitute can also be used as a graftmaterial because of its unlimited bone retrieval. Osteon III can be used to reconstruct the alveolar cleft smoothly and effectively.
引用
收藏
页码:478 / 487
页数:10
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