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Titolo:
A COMPARISON OF ALVEOLAR BONE-GRAFTING WITH AND WITHOUT SIMULTANEOUS MAXILLARY OSTEOTOMIES IN CLEFT-PALATE PATIENTS
Autore:
SAMMAN N; CHEUNG LK; TIDEMAN H;
Indirizzi:
UNIV HONG KONG,DEPT ORAL & MAXILLOFACIAL SURG,34 HOSP RD HONG KONG HONG KONG
Titolo Testata:
International journal of oral and maxillofacial surgery
fascicolo: 2, volume: 23, anno: 1994,
pagine: 65 - 70
SICI:
0901-5027(1994)23:2<65:ACOABW>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
ORTHODONTIC TREATMENT; RESIDUAL ALVEOLAR; SECONDARY; LIP; REHABILITATION;
Keywords:
CLEFT; BONE GRAFTING; OSTEOTOMY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
N. Samman et al., "A COMPARISON OF ALVEOLAR BONE-GRAFTING WITH AND WITHOUT SIMULTANEOUS MAXILLARY OSTEOTOMIES IN CLEFT-PALATE PATIENTS", International journal of oral and maxillofacial surgery, 23(2), 1994, pp. 65-70

Abstract

Nineteen unilateral and 19 bilateral alveolar clefts (group A) were grafted with cancellous iliac bone by a standard method, and 21 unilateral and 15 bilateral clefts (group B) underwent simultaneous maxillaryosteotomies and alveolar bone grafting with cancellous iliac bone. The two groups were retrospectively evaluated clinically and radiographically for alveolar bone level (ABL), attached keratinized gingiva (AKG), sulcus depth (SD), and persistence of oronasal fistulae (ONF). The follow-up ranged from 6 to 54 months with a mean of 23 months for group A and 26 months for group B. In group A, AKG ranged from 1 to 10 mm (mean 5 mm), most patients having deep or normal SD and type I ABL as measured according to the Oslo method. No persistent ONF was noted. Ingroup B. AKG ranged from 0 to 8 mm (mean 3 mm), half the patients showing a shallow sulcus, most with type II or III ABL. In this group, a 4% failure rate of the bone grafting was noted and 6% fistula persistence. It is concluded that the overall results of standard alveolar bone grafting are better in this series than those of simultaneous osteotomy cases, results which are still quite acceptable because they are comparable with published results of standard alveolar bone grafting. The results of this study indicate that simultaneous osteotomy with alveolar bone grafting in cleft patients does not compromise the outcome of bone grafting; therefore, they support the one-stage surgical management of patients with ungrafted clefts and maxillary hypoplasia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 20:43:12