Saha Aditi, Shah Sonal, Waknis Pushkar, Bhujbal Prathamesh, Aher Sharvika, Vaswani Vibha
Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India.
J Korean Assoc Oral Maxillofac Surg. 2019 Oct;45(5):241-253. doi: 10.5125/jkaoms.2019.45.5.241. Epub 2019 Oct 30.
This study evaluated and compared the donor site morbidity following minimally invasive and conventional open harvesting of iliac bone for secondary alveolar bone grafting in cleft palate patients. A thorough electronic search of PubMed, Google Scholar, EMBASE, and an institutional library and manual search of various journals was done; Inclusion criteria: 1) full-text articles using a minimally invasive or conventional open harvesting technique for iliac bone for secondary alveolar grafting in cleft palate patients and 2) articles published between January 1, 2001 and June 30, 2017 and Exclusion criteria: 1) articles published in languages other than English, 2) case reports, case series, animal studies, in vitro studies, and letters to the editor, and 3) full-text article unavailable even after writing to the authors. Preliminary screening of 274 studies excluded 223 studies for not meeting the eligibility criteria. Of the remaining 51 studies, 19 were removed for being duplicates. Of the remaining 32 studies, 15 were excluded after reading the abstract. Of the 17 studies that were left, 2 were excluded because they were in a language other than English, and 2 were excluded because the study group did not mention cleft palate patients. Thus, 13 studies providing results for a total of 654 patients were included in this qualitative synthesis. Minimally invasive bone graft harvest techniques are better than the conventional open iliac bone harvest method because they offer shorter operative time, decreased requirement for pain medications, less pain on discharge, and a shorter hospital stay.
本研究评估并比较了腭裂患者二期牙槽骨植骨时，采用微创和传统开放式取髂骨术后供区的并发症情况。通过对PubMed、谷歌学术、EMBASE以及机构图书馆进行全面的电子检索，并对各类期刊进行手工检索；纳入标准：1) 采用微创或传统开放式取髂骨技术用于腭裂患者二期牙槽骨植骨的全文文章，以及2) 2001年1月1日至2017年6月30日发表的文章；排除标准：1) 非英文发表的文章，2) 病例报告、病例系列、动物研究、体外研究以及给编辑的信件，3) 即使与作者联系后仍无法获取全文的文章。对274项研究进行初步筛选，排除223项不符合纳入标准的研究。在其余51项研究中，19项因重复而被剔除。在其余32项研究中，阅读摘要后排除15项。在剩下的17项研究中，2项因非英文发表而被排除，2项因研究组未提及腭裂患者而被排除。因此，本定性综述纳入了13项研究，共涉及654例患者。微创骨移植采集技术优于传统开放式髂骨采集方法，因为前者手术时间更短，止痛药物需求减少，出院时疼痛减轻，住院时间缩短。
