Murthy Ananth S, Lehman James A
Department of Plastic Surgery, Children's Hospital Medical Center of Akron, Akron, Ohio, USA.
Can J Plast Surg. 2006 Fall;14(3):172-4. doi: 10.1177/229255030601400307.
To review the outcome of secondary alveolar bone grafting in unilateral and bilateral cleft lip and palate.
A surgeon's experience, by retrospective chart review, of 70 consecutive patients at a tertiary care centre.
Periapical radiographs were taken at least six months after secondary alveolar bone grafting. The Enemark grading system was used to stratify graft-take.
In unilateral clefts, 33% were level 1, 36% were level 2, 20% were level 3 and 11% were level 4. In bilateral clefts, 29% were level 1, 50% were level 2, 14% were level 3 and 7% were level 4. There was no statistically significant difference between the level of take and the type of cleft. Complications encountered were infection (n=3), fistula (n=3), pain (n=4) and bone graft exposure that led to failure (n=2). Two patients required reoperation for bone grafting.
The iliac crest is a good donor site with excellent results and minimal morbidity.
回顾单侧和双侧唇腭裂二期牙槽骨植骨的结果。
通过回顾性病历审查，总结一家三级医疗中心一位外科医生对70例连续患者的治疗经验。
在二期牙槽骨植骨后至少6个月拍摄根尖片。采用埃内马克分级系统对植骨成活情况进行分层。
在单侧腭裂中，1级占33%，2级占36%，3级占20%，4级占11%。在双侧腭裂中，1级占29%，2级占50%，3级占14%，4级占7%。植骨成活水平与腭裂类型之间无统计学显著差异。出现的并发症包括感染（n = 3）、瘘管（n = 3）、疼痛（n = 4）以及导致植骨失败的骨移植暴露（n = 2）。两名患者需要再次进行骨移植手术。
髂嵴是一个很好的供骨部位，效果良好且发病率极低。
