An analysis of complications in secondary bone grafting in patients with unilateral complete cleft lip and palate

DSpace Repository

An analysis of complications in secondary bone grafting in patients with unilateral complete cleft lip and palate

Details

Files for download

Find Full text There are no files associated with this item..

Overview of item record
Publication Article, peer reviewed scientific
Title An analysis of complications in secondary bone grafting in patients with unilateral complete cleft lip and palate
Author Wiedel, Anna-Paulina ; Svensson, Henry ; Schönmeyr, Björn ; Becker, Magnus
Date 2016
English abstract
Aim: The aim of this investigation was to assess the outcome of secondary alveolar bone grafts 6 months after the procedure and examine the possible influence of patient sex, age at surgery, cleft width, and dehiscence of mucosa and sequestered bone at 2 weeks. Methods: Thirty-nine consecutive patients with unilateral complete cleft lip and palate were reconstructed with secondary alveolar bone grafting. Age at surgery ranged from 7.3-12.5 years (mean = 8.6). Cleft width varied between 2.2-14 mm (mean = 7.3). Bone was harvested either from the iliac crest or from the chin. Two-dimensional dental radiographs of the cleft area were taken before and 6 months after surgery Results: Two weeks after surgery, 10 patients had minor dehiscence of the sutured gingival tissues and five had bone sequesters. However, only one of the treatments turned out to be unsuccessful with a Bergland index of IV. Twenty-nine patients had an initial uneventful course; but, at a follow-up 6 months later, two patients had a Bergland index of III and four a Bergland index of IV. In three of these cases, there were circumstances that could have contributed to the lack of success; but, in the remaining three, no such circumstances could be identified Conclusion: The success rate of secondary bone grafting is high, and initial wound healing problems do not necessarily lead to a failed reconstruction. Failure may be related to factors such as exposed tooth enamel during an operation, postoperative infection, and poor compliance. Still, failed operations occur without any obvious causes.
DOI https://doi.org/10.3109/2000656X.2015.1086364 (link to publisher's fulltext.)
Publisher Taylor & Francis
Host/Issue Journal of Plastic Surgery and Hand Surgery;2
Volume 50
ISSN 2000-656X
Pages 63-67
Language eng (iso)
Subject Bergland index
cleft lip and palate
complication
secondary bone grafting
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/23052 Permalink to this page
Facebook

This item appears in the following Collection(s)

Details

Search


Browse

My Account

Statistics