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The Use of the Free Iliac Bone Flap by Shaping Like Puzzle for a Wide Alveolar Defect in a Bilateral Cleft Lip and Palate with Rudimentary Premaxilla.游离髂骨瓣拼图式修复双侧唇腭裂伴小上颌牙槽突裂的应用
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游离髂骨瓣拼图式修复双侧唇腭裂伴小上颌牙槽突裂的应用

The Use of the Free Iliac Bone Flap by Shaping Like Puzzle for a Wide Alveolar Defect in a Bilateral Cleft Lip and Palate with Rudimentary Premaxilla.

作者信息

Altuntaş Selman Hakkı, Aydın Mustafa Asım

机构信息

Department of Plastic, Reconstructive and Aesthetic Surgery, Süleyman Demirel University School of Medicine, Isparta, Turkey.

出版信息

J Craniofac Surg. 2022;33(2):e107-e109. doi: 10.1097/SCS.0000000000007936.

DOI:10.1097/SCS.0000000000007936
PMID:35385232
Abstract

Secondary alveolar bone grafting may not be feasible in a considerable number of patients who have cleft lip and palate, mainly because of the requirement for sizeable bony restitution and the insufficient amount of soft tissue for reliable coverage. Bone transport distraction and free vascularized bone transfers are the salvage techniques for treating these deformities and accomplishing successful bone grafting. This report presents a case of bilateral cleft lip and palate with a large palatoalveolar fistula and a rudimentary premaxilla after prior failed attempts at bone grafting. The authors used the free vascularized iliac bone flap with the osteotomies like puzzle for definitive restoration of the deformity.

摘要

二次牙槽骨移植可能不适用于相当数量的唇腭裂患者，主要是因为需要大量的骨修复和足够的软组织以实现可靠的覆盖。骨运输牵张和游离血管化骨移植是治疗这些畸形和成功进行骨移植的挽救技术。本报告介绍了一例双侧唇腭裂患者，该患者曾多次尝试骨移植失败，导致腭牙槽瘘和发育不全的前颌骨。作者使用游离的髂骨瓣和拼图式的骨切开术来进行确定性的畸形修复。