The Proximal Tibia Donor Site in Cleft Alveolar Bone Grafting:

• MIZUNO Maki

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University

• NABESHIMA Hiromitsu

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University

• NAKAYAMA Atsushi

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University

• SHIMIZU Mikio

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University

• NAKANO Masaya

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University

• KURITA Kenichi

  First Department of Oral and Maxillofacial Surgery, School of Dentistry, Aichi-Gakuin University

Bibliographic Information

Other Title

• 脛骨を用いた顎裂部への二次的自家海綿骨移植術の有用性について
• Experience of 30 Consecutive Cases
• ―30症例における臨床的検討―

Abstract

Autogenous cancellous bone graft is a common procedure for alveolar cleft. The iliac crest is the most commonly used donor site for harvesting sufficient bone. However, postoperative complications such as pain or walking disturbance due to harvesting bone from the iliac have been reported. Recently, the tibia has been used as an alternative source because the postoperative damage is less compared with iliac harvesting. This report evaluated 30 cases of alveolar cleft treated by secondary bone grafting from the tibia.<br>We reviewed 30 consecutive patients (20 males and 10 females), who underwent alveolar cleft grafting from the tibia in the First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University. The mean patient age was 14.4 years. Twenty-one patients had unilateral alveolar cleft, and 9 patients had bilateral alveolar cleft.<br>We evaluated the following: 1) length of the incision line on the tibia, 2) surgical duration, 3) blood loss, 4) grafted bone weight, 5) complications, and 6) post alveolar bone height.<br>1) The average incision line measured 8.9 mm; 2) the average surgical duration was 18.8 minutes; 3) the average blood loss was 23.8 g; 4) the average grafted bone weight was 5.5 g; 5) there were no major complications, such as fracture or wound infection, in any case; and 6) the alveolar bone height maintained a satisfactory postoperative level in 27 patients (90%).<br>The proximal tibia offers a suitable donor site for secondary bone graft of alveolar cleft graft.

Journal

• Journal of Japanese Cleft Palate Association

  Journal of Japanese Cleft Palate Association 34 (3), 283-290, 2009

  Japanese Cleft Palate Association

Keywords

• tibia
• autogenous cancellus bone graft
• alveolar clefts

Details

• CRID: 1390001204701714048
• NII Article ID: 10027092361
• NII Book ID: AN00188874
• DOI: 10.11224/cleftpalate.34.283
• ISSN: 21865701
• ISSN: 03865185
• Web Site: https://search.jamas.or.jp/link/ui/2010081419
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed