Mahardawi Basel, Boonsiriseth Kiatanant, Pairuchvej Verasak, Wongsirichat Natthamet
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
J Korean Assoc Oral Maxillofac Surg. 2020 Dec 31;46(6):409-416. doi: 10.5125/jkaoms.2020.46.6.409.
The goal of this retrospective study was to determine the significance and impact of several factors on the alveolar cleft bone grafting procedure.
The medical records were reviewed. In addition, x-rays were checked. The size of every cleft was measured in this retrospective study. The analyzed factors included sex, age, type of cleft, size of the cleft, and the type of flap used in surgery. The patients were characterized into group A (no complications, Bergland scale 1 or 2), group B (complications or Bergland scale 3), or group C (failure cases). Statistical analysis was performed with a -value set at 0.05.
There were 32 cases in group A, 26 in group B, and 9 in group C. Multinomial logistic regression showed an association between the type of the cleft and the size of the cleft, with the presence of complications, or achieving type 3 on the Bergland scale, with odds ratios of 5.118 and 6.000, respectively. The type of cleft was related to failure with an odds ratio of 4.833. Given a small sample, statistical analysis could not be performed to evaluate the relationship between the size of the cleft and group C. Age, sex, and the type of the flap were not significant factors.
The cleft size of more than 10 mm and bilateral clefts were listed regarding their effect on the procedure. Clinicians should not overlook these factors. In addition, patients must be informed of any risks that are present.
本回顾性研究的目的是确定几个因素对牙槽嵴裂植骨手术的意义和影响。
回顾病历。此外，检查X线片。在本回顾性研究中测量每个裂隙的大小。分析的因素包括性别、年龄、裂隙类型、裂隙大小以及手术中使用的皮瓣类型。将患者分为A组（无并发症，Bergland分级1或2级）、B组（有并发症或Bergland分级3级）或C组（失败病例）。采用设定α值为0.05进行统计分析。
A组32例，B组26例，C组9例。多项逻辑回归显示，裂隙类型与裂隙大小之间存在关联，与并发症的发生或Bergland分级达到3级相关，优势比分别为5.118和6.000。裂隙类型与失败相关，优势比为4.833。鉴于样本量小，无法进行统计分析以评估裂隙大小与C组之间的关系。年龄、性别和皮瓣类型不是显著因素。
列出了大于10mm的裂隙大小和双侧裂隙对手术的影响。临床医生不应忽视这些因素。此外，必须告知患者存在的任何风险。
