Iliac Crest Donor Site for Children With Cleft Lip and Palate Undergoing Alveolar Bone Grafting: A Long-term Assessment

被引:11
作者
Wheeler, Jonathan [1 ,2 ,3 ]
Sanders, Megan [1 ,2 ,3 ]
Loo, Stanley [1 ,2 ,3 ]
Moaveni, Zac [1 ,2 ,3 ]
Bartlett, Glenn [1 ,2 ,3 ]
Keall, Heather [1 ,2 ,3 ]
Pinkerton, Mark [1 ,2 ,3 ]
机构
[1] Middlemore Hosp, Auckland Reg Cleft & Craniofacial Serv, Dept Plast & Reconstruct Surg, Auckland 1640, New Zealand
[2] Middlemore Hosp, Dept Oral Hlth, Auckland 1640, New Zealand
[3] Univ Auckland, Auckland 1, New Zealand
关键词
Alveolar; bone; canine; cleft lip and palate; graft; iliac crest; MORPHOGENIC PROTEIN-2; HARVESTING TECHNIQUES; SECONDARY; RECONSTRUCTION; MORBIDITY; ANTERIOR; SYMMETRY;
D O I
10.1097/SCS.0000000000002498
中图分类号
R61 [外科手术学];
学科分类号
摘要
The authors aimed to accurately assess the donor site morbidity from iliac crest bone grafts for secondary bone grafting in patients with cleft lip and palate alveolar defects. Fifty patients between 3 months and 10 years following alveolar bone grafting for cleft lip and palate were entered into the study. Two-thirds of patients had no significant concerns about the donor site. The remaining third had some concerns about the appearance of their hips and less than 10% of patients expressing strong agreement with statements about concerns with shape, appearance, and self-consciousness about the iliac crest donor site. Examination findings showed the average length of scar being 5.4 cm and a third of patients having some minor palpable boney irregularities of the iliac crest. The authors found that the alveolar crest donor site is well tolerated by patients long term but has a measurable morbidity long term.
引用
收藏
页码:598 / 601
页数:4
相关论文
共 23 条
[11]   Assessment of bone resorption after secondary alveolar bone grafting using three-dimensional computed tomography:: A three-year study [J].
Feichtinger, Matthias ;
Mossboeck, Rudolf ;
Kaercher, Hans .
CLEFT PALATE-CRANIOFACIAL JOURNAL, 2007, 44 (02) :142-148
[12]   Primary alveolar cleft bone grafting in unilateral cleft lip and palate: Arch dimensions at age 8 [J].
Hathaway, RR ;
Eppley, BL ;
Hennon, DK ;
Nelson, CL ;
Sadove, AM .
JOURNAL OF CRANIOFACIAL SURGERY, 1999, 10 (01) :58-67
[13]   Percutaneous autologous bone-marrow grafting for nonunions - Influence of the number and concentration of progenitor cells [J].
Hernigou, P ;
Poignard, A ;
Beaujean, F ;
Rouard, H .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (07) :1430-1437
[14]  
Hout WMMT, 2011, CLIN ORAL INVEST, V15, P297
[15]   Harvesting of bone from the iliac crest - comparison of the anterior and posterior sites [J].
Kessler, P ;
Thorwarth, M ;
Bloch-Birkholz, A ;
Nkenke, E ;
Neukam, FW .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2005, 43 (01) :51-56
[16]  
Marchac AC, 2011, J CRANIOFAC SURG, V22, P858, DOI 10.1097/SCS.0b013e31820f7d20
[17]   Secondary Alveolar Bone Grafting (CLEFTSiS) 2000-2004 [J].
McIntyre, Grant T. ;
Devlin, Mark F. .
CLEFT PALATE-CRANIOFACIAL JOURNAL, 2010, 47 (01) :66-72
[18]   Ambulatory alveolar bone grafting [J].
Perry, CW ;
Lowenstein, A ;
Rothkopf, DM .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2005, 116 (03) :736-739
[19]   Effect of Alveolar Bone Grafting on Nasal Morphology, Symmetry, and Nostril Shape of Patients With Unilateral Cleft Lip and Palate [J].
Sander, Melissa ;
Daskalogiannakis, John ;
Tompson, Bryan ;
Forrest, Christopher .
CLEFT PALATE-CRANIOFACIAL JOURNAL, 2011, 48 (01) :20-27
[20]   Comparison of Minimally Invasive versus Conventional Open Harvesting Techniques for Iliac Bone Graft in Secondary Alveolar Cleft Patients [J].
Sharma, Sheel ;
Schneider, Lisa F. ;
Barr, Jason ;
Aarabi, Shahram ;
Chibbaro, Patricia ;
Grayson, Barry ;
Cutting, Court B. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 128 (02) :485-491