Document Detail


Cranial bone grafting for alveolar clefts: a 25-year review of outcomes.
MedLine Citation:
PMID:  24776568     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Cranial bone grafting for an alveolar cleft obtains membranous bone from a low-morbidity donor site. Although iliac crest bone is the favored donor site, there are no objective analyses of three-dimensional radiologic outcomes with cranial bone grafting and no studies evaluating complications and long-term outcomes in a large series of patients undergoing cranial bone grafting.
METHODS: A retrospective chart review was conducted on patients who underwent alveolar bone grafting from the cranium over a 25-year period performed by a single surgeon. Data collected included patient characteristics, complications, and clinical outcomes. Radiologic analysis of graft outcomes was determined using Amira volume-rendering software on the most recent 10 consecutive patients.
RESULTS: The authors' study cohort included 308 patients, with an average age of 11.5 years. Complications involved harvesting the graft in 3.5 percent, the donor site in 1 percent, and the recipient site in 17.2 percent. Regrafting was required in 7.1 percent, with a clinical success rate of 92.9 percent. The average alveolar defect was 1.19 ml preoperatively and 0.19 ml postoperatively, with 85 percent fill of the cleft defect by radiologic analysis.
CONCLUSIONS: Cranial bone grafting for the alveolar cleft is a low-morbidity operation and has success similar to that of iliac crest bone grafting. It should be considered more often as a viable option for the alveolar cleft patient.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
Authors:
Kristen A Hudak; Patrick Hettinger; Arlen D Denny
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  133     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-04-29     Completed Date:  2014-06-26     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  662e-668e     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Alveolar Bone Grafting / methods*
Alveolar Process / radiography,  surgery*
Child
Child, Preschool
Cleft Lip / radiography,  surgery*
Cleft Palate / radiography,  surgery*
Female
Follow-Up Studies
Humans
Ilium / transplantation
Male
Middle Aged
Retrospective Studies
Skull / transplantation*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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