title: Iliac Crest Donor Site for Children With Cleft Lip and Palate Undergoing Alveolar Bone Grafting: A Long-term Assessment.
abstract: 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.
authors.affiliation: *Auckland Regional Cleft and Craniofacial Service, Departments of Plastic and Reconstructive Surgery and Oral Health, Middlemore Hospital†University of Auckland, Auckland, New Zealand.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Wheeler
authors.forename: Megan
authors.initials: M
authors.lastname: Sanders
authors.forename: Stanley
authors.initials: S
authors.lastname: Loo
authors.forename: Zac
authors.initials: Z
authors.lastname: Moaveni
authors.forename: Glenn
authors.initials: G
authors.lastname: Bartlett
authors.forename: Heather
authors.initials: H
authors.lastname: Keall
authors.forename: Mark
authors.initials: M
authors.lastname: Pinkerton
mesh_terms: D000293:Adolescent; D064728:Alveolar Bone Grafting / Q000379:methods*; D002648:Child; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D013997:Time Factors; D014019:Tissue Donors; D016896:Treatment Outcome