Increase in Age Is Associated With Worse Outcomes in Alveolar Bone Grafting in Patients With Bilateral Complete Cleft Palate
| Autor: | Inge Elly Kiemle Trindade, Omar Gabriel da Silva Filho, Alceu Sergio Trindade, Terumi Okada Ozawa, Renato André de Souza Faco, Adriana Maria Calvo, Roberta Martineli Carvalho, Ivy Kiemle Trindade-Suedam, Flavia Maria Ravagnani Neves Cintra |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Cone beam computed tomography medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Dentistry Young Adult Alveolar Process Humans Medicine In patient Prospective Studies Craniofacial Young adult Child Prospective cohort study Bone Transplantation Rehabilitation Alveolar Bone Grafting business.industry Age Factors General Medicine Cone-Beam Computed Tomography TOMOGRAFIA COMPUTADORIZADA POR RAIOS X Surgery Cleft Palate Otorhinolaryngology Bilateral cleft lip Female Alveolar bone grafting business Brazil |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1049-2275 |
| DOI: | 10.1097/scs.0000000000000639 |
| Popis: | This prospective study aimed at evaluating the surgical outcomes of alveolar bone grafting (ABG) in subjects with bilateral cleft lip and palate treated at the Hospital for Rehabilitation of Craniofacial Anomalies, University of Sao Paulo, Bauru, Brazil, by means of cone-beam computed tomography. Twenty-five patients with bilateral complete cleft lip and palate, resulting in 50 clefts, were analyzed. Subjects were divided into 2 groups according to the dentition status at the time of surgery: (1) SABG group: subjects with mixed dentition operated on before or immediately after eruption of the permanent canine (10-13 years); (2) TABG group: subjects with permanent dentition (15-23 years). Cone-beam computed tomography analysis was performed in the buccal, intermediate, and palatal views, 2 and 6 to 12 months postoperatively. In the SABG group, 96% of the grafts were classified as successful, and no failure cases were observed. In the TABG group, successful cases decreased to 65%, and failures were seen in 27% of the cleft sites. In both postoperative periods, significantly better outcomes (lower mean scores) were observed for the SABG group in all the cone-beam computed tomography views (P < 0.05). Results show that the timing of surgery is an important factor in determining the outcomes of ABG in patients with bilateral cleft lip and palate, with increasing age being associated with the worse outcomes. |
| Databáze: | OpenAIRE |
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