Comparison between combined cortical and cancellous bone graft and cancellous bone graft in alveolar cleft: Retrospective study of complications during the first six months post-surgery
| Autor: | Michèle Bigorre, Guillaume Captier, Paul Tramini, Thomas Vandeputte |
|---|---|
| Přispěvatelé: | Faculté d'odontologie [Montpellier], Université de Montpellier (UM), Département Chirurgie Pédiatrique [CHRU Montpellier], Pôle Femme Mère Enfant [CHRU Montpellier], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Aide à la Décision pour une Médecine Personnalisé - Laboratoire de Biostatistique, Epidémiologie et Recherche Clinique - EA 2415 (AIDMP), Université Montpellier 1 (UM1)-Université de Montpellier (UM) |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Post-operative complications MESH: Alveolar Bone Grafting Cleft Lip MESH: Cancellous Bone Alveolar bone graft Iliac crest 03 medical and health sciences 0302 clinical medicine Incisor Cleft lip and palate MESH: Bone Transplantation Autograft Medicine Humans Bone regeneration Retrospective Studies MESH: Humans Bone Transplantation business.industry Alveolar Bone Grafting MESH: Cleft Lip Maxillary canine MESH: Retrospective Studies Retrospective cohort study 030206 dentistry 3. Good health Surgery Cleft Palate medicine.anatomical_structure MESH: Cleft Palate Otorhinolaryngology 030220 oncology & carcinogenesis Cancellous Bone Cortical bone Oral Surgery business Cancellous bone [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology |
| Zdroj: | Journal of Cranio-Maxillofacial Surgery Journal of Cranio-Maxillofacial Surgery, Elsevier, 2020, 48 (1), pp.38-42. ⟨10.1016/j.jcms.2019.11.013⟩ |
| ISSN: | 1878-4119 1010-5182 |
| DOI: | 10.1016/j.jcms.2019.11.013⟩ |
| Popis: | Background In patients with alveolar cleft, alveolar bone graft is usually performed before the permanent maxillary canine or incisor eruption and using cancellous bone harvested from the iliac crest. The authors sought to compare the early complication rate in patients who received cancellous bone graft alone and cortical bone graft in addition to cancellous bone to reconstruct the nasal floor. Methods For this observational, retrospective, monocentric study, patients with alveolar cleft who underwent autologous alveolar bone graft and gingivoperiosteoplasty at Montpellier Hospital were divided into two groups: group A, who had cortical and cancellous bone graft; and group B, who had only cancellous bone graft. Both groups were followed for 6 months after surgery, and complications were recorded. Results In total, 319 grafts (group A, 163; group, 156) were performed from June 1999 to May 2016. The major complication rates were 8% and 5.8% in group A and B, respectively, and were not significantly different (p = 0.52). Similarly, the rates of minor complications and of donor site morbidity were not different between groups. Conclusions This preliminary study shows that adding a cortical bone graft for the nasal floor reconstruction does not increase the risk of complications in 6 months following the graft. Long-term benefits such as alveolar height and a piriform aperture symmetrisation will have to be analysed to study the contribution of the technique. |
| Databáze: | OpenAIRE |
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