Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country

Background: Orofacial clefts are common congenital malformations, with alveolar cleft as the most common [75%] of all anomalies. Many treatment modalities are available. However, our clinical experience with bone graft modality is not well addressed. The aim of the work: To evaluate the effective...

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Autores principales:	Ahmed Abd Alfatah Abd Algalil Makharita, Ahmed Salama Sayouh, Mahmoud Ahmed Amin
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	alveolar cleft reconstruction bone graft cancellous iliac Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0a96a09149a44fc898a2d70c594694ec
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spelling	oai:doaj.org-article:0a96a09149a44fc898a2d70c594694ec2021-12-02T15:54:52ZEarly Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country2636-41742682-378010.21608/ijma.2021.53013.1216https://doaj.org/article/0a96a09149a44fc898a2d70c594694ec2021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_160241_7283782b1ae50847d7b3334469957621.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Orofacial clefts are common congenital malformations, with alveolar cleft as the most common [75%] of all anomalies. Many treatment modalities are available. However, our clinical experience with bone graft modality is not well addressed. The aim of the work: To evaluate the effectiveness of early [2 to 12 years; before complete eruption of the cleft canine] versus late [> 12 years; after complete eruption of the cleft canine] cancellous anterior iliac bone grafting for alveolar cleft reconstruction. Patients and Methods: Twenty-three patients with alveolar clefts who were admitted for alveolar cleft reconstruction surgery were included. They were categorized into early and late secondary grafting groups. All patients inquired about their history. Submitted to full clinical examination, laboratory and radiological examinations. The imaging studies include two-dimensional orthopantomogram for all patients, while 3-D fascial computed tomography and cone-beam computed tomography were done for selected patients. Both intraoperative and postoperative data were collected, any complications were registered and patients followed up regularly up to 6 months. Results: Both groups were comparable as regarding patient characteristics except younger age in early group, and there was a statistically significant difference between early and late groups regarding cleft side and cleft permanent canine full eruption. Males represented 69.9%. The cleft was on the left side in 56.4%. Seven patients [30.4%] had maternal risk factor [five in early and two in late group]. Blood loss was less than 80 ml in all patients in both groups. All oronasal fistulas were sealed off successfully in all patients [100%] and all had normal healthy gingival contour with vital teeth adjacent to the cleft. All showed evidence of good bone filling in the alveolar defect after 6 months postoperatively. Only one patient developed hypertrophic scars at each group . Conclusion: Alveolar cleft reconstruction is preferred to perform autologous cancellous bone grafting harvested from the iliac crest bone to repair the cleft with excellent outcome on short-term follow-up .Ahmed Abd Alfatah Abd Algalil MakharitaAhmed Salama SayouhMahmoud Ahmed AminAl-Azhar University, Faculty of Medicine (Damietta)articlealveolar cleftreconstructionbone graftcancellousiliacMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1412-1422 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	alveolar cleft reconstruction bone graft cancellous iliac Medicine (General) R5-920
spellingShingle	alveolar cleft reconstruction bone graft cancellous iliac Medicine (General) R5-920 Ahmed Abd Alfatah Abd Algalil Makharita Ahmed Salama Sayouh Mahmoud Ahmed Amin Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country
description	Background: Orofacial clefts are common congenital malformations, with alveolar cleft as the most common [75%] of all anomalies. Many treatment modalities are available. However, our clinical experience with bone graft modality is not well addressed. The aim of the work: To evaluate the effectiveness of early [2 to 12 years; before complete eruption of the cleft canine] versus late [> 12 years; after complete eruption of the cleft canine] cancellous anterior iliac bone grafting for alveolar cleft reconstruction. Patients and Methods: Twenty-three patients with alveolar clefts who were admitted for alveolar cleft reconstruction surgery were included. They were categorized into early and late secondary grafting groups. All patients inquired about their history. Submitted to full clinical examination, laboratory and radiological examinations. The imaging studies include two-dimensional orthopantomogram for all patients, while 3-D fascial computed tomography and cone-beam computed tomography were done for selected patients. Both intraoperative and postoperative data were collected, any complications were registered and patients followed up regularly up to 6 months. Results: Both groups were comparable as regarding patient characteristics except younger age in early group, and there was a statistically significant difference between early and late groups regarding cleft side and cleft permanent canine full eruption. Males represented 69.9%. The cleft was on the left side in 56.4%. Seven patients [30.4%] had maternal risk factor [five in early and two in late group]. Blood loss was less than 80 ml in all patients in both groups. All oronasal fistulas were sealed off successfully in all patients [100%] and all had normal healthy gingival contour with vital teeth adjacent to the cleft. All showed evidence of good bone filling in the alveolar defect after 6 months postoperatively. Only one patient developed hypertrophic scars at each group . Conclusion: Alveolar cleft reconstruction is preferred to perform autologous cancellous bone grafting harvested from the iliac crest bone to repair the cleft with excellent outcome on short-term follow-up .
format	article
author	Ahmed Abd Alfatah Abd Algalil Makharita Ahmed Salama Sayouh Mahmoud Ahmed Amin
author_facet	Ahmed Abd Alfatah Abd Algalil Makharita Ahmed Salama Sayouh Mahmoud Ahmed Amin
author_sort	Ahmed Abd Alfatah Abd Algalil Makharita
title	Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country
title_short	Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country
title_full	Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country
title_fullStr	Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country
title_full_unstemmed	Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country
title_sort	early versus late alveolar cleft repair using cancellous iliac bone grafts in a developing country
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/0a96a09149a44fc898a2d70c594694ec
work_keys_str_mv	AT ahmedabdalfatahabdalgalilmakharita earlyversuslatealveolarcleftrepairusingcancellousiliacbonegraftsinadevelopingcountry AT ahmedsalamasayouh earlyversuslatealveolarcleftrepairusingcancellousiliacbonegraftsinadevelopingcountry AT mahmoudahmedamin earlyversuslatealveolarcleftrepairusingcancellousiliacbonegraftsinadevelopingcountry
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Early Versus Late Alveolar Cleft Repair Using Cancellous Iliac Bone Grafts in A developing country

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