Retrospective analysis of 135 secondary alveolar cleft grafts using iliac or calvarial bone.
This retrospective study summarizes experience with 135 secondary alveolar cleft bone graft procedures over 8 years. The overall success rate was 83.7%. The group of patients (n = 108) that had particulate cancellous bone and marrow obtained from the iliac crest as donor bone had an 89.8% success rate. The group (n = 27) that had calvarial bone as the donor material had a success rate of only 63%. It is felt that inferior results with calvarial bone are probably related to the procurement technique. In both the iliac crest and calvarial groups, there was a trend toward declining success rates with advancing age of the patient. Morbidity associated with these procedures, consistent with other reported series, was low.
Kortebein
M J
MJ
Oral and Maxillofacial Surgery, School of Dentistry, Indiana University, Indianapolis.
Nelson
C L
CL
Sadove
A M
AM
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000539:Alveolar Process / Q000002:abnormalities / Q000601:surgery*; D016025:Bone Transplantation; D002648:Child; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D007902:Length of Stay; D008297:Male; D011379:Prognosis; D012086:Reoperation; D012189:Retrospective Studies; D012886:Skull / Q000637:transplantation*