2013
DOI: 10.1016/j.bjps.2012.08.015
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Alveolar bone healing accompanied by severe swelling in cleft children treated with bone morphogenetic protein-2 delivered by hydrogel

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Cited by 87 publications
(72 citation statements)
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“…While the ability of rhBMP-2 to repair bone defects in orthopedic surgery has been known for some time, its use in craniofacial surgery (sinus elevation, alveolar cleft) has only been recently contemplated [30]. Although rhBMP-2 has shown promising results when compared to standard BG [2,4,5] it has also led to severe side effects, such as wound breakdown and acute respiratory failure, when used in the immature skeleton of young patients or close to airways [61,74,84].…”
Section: Discussionmentioning
confidence: 95%
“…While the ability of rhBMP-2 to repair bone defects in orthopedic surgery has been known for some time, its use in craniofacial surgery (sinus elevation, alveolar cleft) has only been recently contemplated [30]. Although rhBMP-2 has shown promising results when compared to standard BG [2,4,5] it has also led to severe side effects, such as wound breakdown and acute respiratory failure, when used in the immature skeleton of young patients or close to airways [61,74,84].…”
Section: Discussionmentioning
confidence: 95%
“…Recently, a novel polymer hydrogel of sugarcane molasses appeared to be a good candidate to treat calvarial bone defects in rats, in association with Bone Morphogenetic Proteins (BMPs) [43]. In patients, hyaluronan-based hydrogels associated with BMP-2 greatly enhanced the healing of critical-size cranial defects [44] or alveolar cleft defects [45], and alginate-agarose hydrogels combined with autologous chondrocytes significantly improved clinical outcome in patients suffering from chondral or osteochondral defects over a 2-year follow-up [46]. …”
Section: Discussionmentioning
confidence: 99%
“…1 HA is extensively used in the biomedical field, for example, in ophthalmic surgery, 2,3 arthritic treatment, 4,5 and dermal fillers, 6 as well as tissue engineering. 6,7 However, many applications show that hyaluronan is unable to give sufficient efficacy if used without chemical crosslinking owing to its incapability of forming physical gels over a wide pH range 8 Depending on pH, HA carries a negative charge on every second monomer. The conformation of HA in solution is stabilized by intramolecular H bonds, 9 resulting in a relatively stiff polymer conformation.…”
Section: Introductionmentioning
confidence: 99%