Current concept in alveolar cleft management

Bangabandhu Sheikh Mujib Medical University Journal

Mei Shuang¹  Sun Xu¹  Mohammad Sayedur Rahman Khan¹  Xiao Lin Liu¹  Hao Fu Liang¹ 

[1] Department of Oral and Maxillofacial Surgery, College of Stomatology, Hebei Medical University, Hebei;

关键词: Alveolar cleft;    Alveolar osteoplasty;    Bone graft;    Bone graft substitutes;   

DOI  :  10.3329/bsmmuj.v10i4.34258

来源: DOAJ

【 摘 要 】

The alveolar cleft is known as the developmental defect of bone in alveolar process of maxillae which occurs in 75% of the cleft lip and palate patients with different types of clinical presentation like unilateral or bilateral and complete or incomplete. Secondary alveolar cleft reconstruction with autogenic spongy bone grafting (osteoplasty) at the stage of mixed dentition is commonly accepted treatment to help in the maintenance of maxillary arch continuity, repairing of oronasal fistula, eruption of the permanent dentition, enhancement of nasal symmetry through providing alar base support and improving speech. As of late, conflicting argument of alveolar cleft management is continuing regarding treatment planning with timing, graft materials, surgical techniques as well as methods of evaluation of the progress of alveolar osteoplasty. Now-a-days, experiments have made for the application of allogeneic bone, artificial bone, and recombinant human bone morphogenetic protein (rhBMP), along with growth factors to diminish the donor-site morbidity associated autogenic bone grafting. The purpose of this review is to discuss about pathogenesis and aetiology of cleft defects, surgical techniques, assessment of progress of alveolar bone graft and proposed future materials for bone graft.

【 授权许可】

Unknown