Conticocancellous Iliac Bone Graft and Fibrin Sealant for Alveolar Cleft.

Lee, Sung Joo; Kim, Chin Whan

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2000;27(3):219-222.
Published online May 1, 2000.

Conticocancellous Iliac Bone Graft and Fibrin Sealant for Alveolar Cleft.

Sung Joo Lee, Chin Whan Kim

Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University.

Abstract

Secondary bone grafting of the maxilla in the mixed transitional dentition stage has become a well accepted procedure in the surgical protocol for rehabilitation of patients with residual alveolar clefts. In our retrospective study we documented the excellent long term results obtained with iliac bone graft. For closure of alveolar cleft authors used combined corticocancellous bone of ilium with fibrin sealant on 54 children patients since 1994. The mean age of bone grafted patients was 6 years old. All patients were followed up from 6 to 48 months. Following exact assessment of the amount of bony defect was carried out through clinical and radiologic study including 3 demensional CT, sufficient amount of corticocancellous iliac bone onlay graft along the piriform aperture in addition to cancellous component inlay graft was carried out. Tooth eruption rate obtained from our method was 100%. In our studies, we experienced excellent results in terms of cleft closure, tooth eruption, bone incorporation and external nasal appearance.

Keywords: Secondary bone grafting; Fibrin sealant