Murali Srinisha P, Denadai Rafael, Chou Pang-Yun, Chang Chun-Shin, Lo Lun-Jou
From the Department of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University.
Plast Reconstr Surg. 2022 Jun 1;149(6):1176e-1180e. doi: 10.1097/PRS.0000000000009168. Epub 2022 Apr 12.
Secondary alveolar bone grafting is one of the key surgical procedures performed to restore dental arch continuity and facilitate tooth eruption in patients with cleft lip and palate. Harvest of cancellous bone graft from the iliac crest has become the gold standard; however. there is no consensus regarding the ideal technique. An optimal bone harvest technique must be aimed at producing minimal donor-site morbidity and patient discomfort. The success of the bone grafting procedure depends largely on the surgical technique. To restore cleft alveolar defects, one must be able to conceptualize the different underlying aspects of the problem to perform an effective surgical repair. It is important for surgeons-in-service to adopt newer techniques that significantly enhance the overall outcome. This article describes two techniques of iliac bone harvest and the principles involved in execution of the alveolar bone grafting procedure. The accompanying four-part video series depicts the bone harvest, flap design, dissection of the recipient cleft alveolus, and bone grafting in a step-by-step manner.
二期牙槽骨植骨术是唇腭裂患者恢复牙弓连续性、促进牙齿萌出所进行的关键外科手术之一。从髂嵴获取松质骨移植已成为金标准；然而，关于理想技术尚无共识。最佳的骨采集技术必须旨在使供区发病率和患者不适降至最低。骨移植手术的成功很大程度上取决于手术技术。为修复牙槽裂缺损，必须能够理解问题的不同潜在方面，以进行有效的手术修复。在职外科医生采用能显著提高总体疗效的新技术很重要。本文描述了两种髂骨采集技术以及牙槽骨移植手术实施过程中涉及的原则。随附的四部视频系列以逐步方式展示了骨采集、皮瓣设计、受区牙槽裂解剖和骨移植过程。
