Nandagopal Vura1, Rajiv Reddy K2, Sudhir R2, Rajasekhar G3, Varun Raja Kaluvala4. 1. Professor, Department of Oral and Maxillofacial Surgery, Mamata Dental College , Khammam, India .. 2. Reader, Department of Oral and Maxillofacial Surgery, Mamata Dental College , Khammam, Andhrapradesh, India . 3. Professor and Head, Department of Oral and Maxillofacial Surgery, Mamata Dental College , Khammam, Andhrapradesh, India . 4. Post Graduate, Department of Oral and Maxillofacial Surgery, Mamata Dental College , Khammam, Andhrapradesh, India .
Abstract
INTRODUCTION: The use of autogenous bone graft for Secondary alveolar bone grafting is well established in the treatment of cleft lip and palate patients. AIMS AND OBJECTIVES: To evaluate post-operative morbidity of anterior iliac crest graft after secondary alveolar bone grafting in cleft patients. MATERIAL AND METHODS: Forty patients during the period from July 2008 to March 2013, who underwent secondary alveolar bone grafting by harvesting graft from anterior iliac crest in Mamata Dental Hospital, Khammam, Andhra Pradesh, India are included in the present study. Unilateral and bilateral cleft patients who had undergone secondary alveolar bone grafting (SABG) with anterior iliac crest as their donor site have been selected and post- operative complications from the surgery were evaluated with the help of a questionnaire which included pain, gait disturbances, numbness and scar problems (infection, irritation). RESULTS: Patients who were operated gave maximum score for pain as 8 on visual analogue scale. No pain was observed in any of the cases after 8 days, gait disturbances were seen in all patients (limping) for 2-6 days, there was no post-operative numbness with all the patients returning to their routine in 6- 15 days and 90% of the patients gave a satisfied response towards scar. CONCLUSION: From the results in our study the morbidity after harvesting bone from iliac crest was found to be moderate to low, which had minimal complications and were well tolerated and greater acceptance from the patient.
INTRODUCTION: The use of autogenous bone graft for Secondary alveolar bone grafting is well established in the treatment of cleft lip and palatepatients. AIMS AND OBJECTIVES: To evaluate post-operative morbidity of anterior iliac crest graft after secondary alveolar bone grafting in cleftpatients. MATERIAL AND METHODS: Forty patients during the period from July 2008 to March 2013, who underwent secondary alveolar bone grafting by harvesting graft from anterior iliac crest in Mamata Dental Hospital, Khammam, Andhra Pradesh, India are included in the present study. Unilateral and bilateral cleftpatients who had undergone secondary alveolar bone grafting (SABG) with anterior iliac crest as their donor site have been selected and post- operative complications from the surgery were evaluated with the help of a questionnaire which included pain, gait disturbances, numbness and scar problems (infection, irritation). RESULTS:Patients who were operated gave maximum score for pain as 8 on visual analogue scale. No pain was observed in any of the cases after 8 days, gait disturbances were seen in all patients (limping) for 2-6 days, there was no post-operative numbness with all the patients returning to their routine in 6- 15 days and 90% of the patients gave a satisfied response towards scar. CONCLUSION: From the results in our study the morbidity after harvesting bone from iliac crest was found to be moderate to low, which had minimal complications and were well tolerated and greater acceptance from the patient.
Entities:
Keywords:
Cleft alveolus; Iliac crest; Secondary Alveolar Bone Grafting
Authors: Ryan Gao; Maureen Watson; Karen E Callon; Donna Tuari; Michael Dray; Dorit Naot; Satya Amirapu; Jacob T Munro; Jillian Cornish; David S Musson Journal: J Tissue Eng Regen Med Date: 2017-04-09 Impact factor: 3.963