Steinbacher Derek M, Padwa Bonnie L, Mulliken John B
Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Cleft Palate Craniofac J. 2009 May;46(3):295-8. doi: 10.1597/07-122.1. Epub 2008 Sep 10.
Children with repaired cleft lip/palate require secondary closure of the alveolar cleft and, often, nasolabial revision. We describe a technique performed in 61 patients for harvesting bone for the alveolar defect and dermis for augmentation of the median tubercle, taking both from the posterior iliac region. The advantages of the posterior approach are as follows: (1) the same donor site is used for cancellous bone and dermal graft and (2) the child's appearance is improved along with alveolar cleft grafting.
唇腭裂修复后的儿童需要进行牙槽嵴裂的二期封闭，并且通常还需要进行鼻唇修复。我们描述了一种对61例患者实施的技术，即从髂后区域获取骨用于牙槽嵴缺损修复，获取真皮用于正中结节的增大，二者均取自髂后区域。后入路的优点如下：（1）同一供区用于松质骨和真皮移植；（2）随着牙槽嵴裂植骨，患儿的外观得到改善。
