title: Retrospective analysis of 135 secondary alveolar cleft grafts using iliac or calvarial bone.
abstract: 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.
authors.affiliation: Oral and Maxillofacial Surgery, School of Dentistry, Indiana University, Indianapolis.
authors.forename: M J
authors.initials: MJ
authors.lastname: Kortebein
authors.forename: C L
authors.initials: CL
authors.lastname: Nelson
authors.forename: A M
authors.initials: AM
authors.lastname: Sadove
mesh_terms: 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*