Alveolar bone grafting at the stage of mixed dentition is a well-accepted procedure for the management of cleft lip and palate patients. In this paper we describe our techniques for secondary alveolar bone grafting. Our approach and surgical techniques are summarized as follows: 1) No attempt is made to close the alveolar cleft during either the lip repair or palatal repair to preserve the attached gingiva. 2) Bone grafting is done prior to the eruption of cleft side lateral or medial incisors. 3) Cancellous bone is harvested from the ilium using the conventional open method. 4) Inferior turbinectomy is sometimes required to elevate the nasal floor. 5) A gingival mucoperiosteal flap is essential for coverage of the bone graft. 6) Computed tomography is a useful method for perioperative evaluation. We have employed this procedure for 77 clefts. The neo-alveolus alone was considered sufficient for the periodontal support in 69 of these clefts.
|ジャーナル||Japanese Journal of Plastic and Reconstructive Surgery|
|出版ステータス||Published - 2000 12 1|
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