Cephalometric comparison of early and late secondary bone grafting in the treatment of patients suffering from unilateral cleft lip and palate

Brudnicki, Andrzej; Sawicka, Ewa; Brudnicka, Renata; Fudalej, Piotr

doi:10.1016/j.jcms.2017.01.016

Cited by 19 publications

(15 citation statements)

References 18 publications

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“…According to the age of patients at the moment of surgery, ABG procedure could be divided into 2 types: early (before 6 years of age) and late (after 6 years of age) interventions (Larsen, 2004; Brudnicki et al, 2017). Nowadays, late ABG between 9 and 12 years of age is generally accepted and recognized as the optimal procedure in the management of unilateral cleft lip and palate (UCLP).…”

Section: Discussionmentioning

confidence: 99%

Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients

Zhou

Pan

Tang

et al. 2019

The Cleft Palate-Craniofacial Journal

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Objective: To compare osseous outcomes of block and cancellous iliac bone grafting in older unilateral alveolar cleft patients. Design: Retrospective and observational follow-up study. Setting: Cleft Lip and Palate Centre, Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Stomatology, Nanjing Medical University, China. Patients: Forty-five nonsyndromic patients with unilateral complete alveolar cleft were enrolled in this study (25 patients in block bone graft group and 20 patients in cancellous bone graft group). Interventions: In cancellous bone graft group, the alveolar cleft was filled with iliac cancellous bone particulate. In group of block bone graft, the harvested bone block was trimmed and fixed in alveolar defect. Main Outcome Measures: A novel method was proposed to investigate the volume and density of residual bone graft at 1-week, 3- and 6-month, 1- and 2-year postoperatively based on cone beam computed tomography scans. Results: No difference in bone graft volume was found between 2 groups at 1-week and 3-month postoperatively; however, the residual volume of block bone graft group was significantly larger than that of cancellous bone graft group at 6-month, 1- and 2-year postoperatively. The bone density of block bone graft group was lower at 1-week and 3-month postoperatively but was comparable at 6-month, 1- and 2-year postoperatively. Our method was reliable and accurate to identify the range of residual bone graft when the boundary of grafted bone could not be identified clearly. Conclusion: Block bone graft could achieve comparable bone density and retain a greater amount of residual bone comparing to cancellous bone graft.

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Section: Discussionmentioning

confidence: 99%

Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients

Zhou

Pan

Tang

et al. 2019

The Cleft Palate-Craniofacial Journal

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“…There are no other studies published that relate ABG at 6 years of age and facial growth. The only studies available with other “earlier” ABG timing are those of Fudalej et al (2011) and Brudnicki et al (2017) that both grafted at 2.5 years of age which is significantly younger than the age of the present study. Fudalej et al (2011) evaluated maxillary dental arch dimensions in preschool children with complete CUCLP between 5.2 and 5.8 years of age after early ABG at ∼2.5 years of age.…”

Section: Discussionmentioning

confidence: 65%

“…A decreased mesiopalatal inclination of the lesser segment and a tendency for a reduced intercanine width were shown, suggesting a larger collapse of the lesser segment with early ABG at 2.5 years (Fudalej et al, 2011). Brudnicki et al (2017) performed a retrospective cephalometric assessment of 10-year-old patients with CUCLP for 3 groups: early ABG grafted at ∼2.5 years of age, late grafted, and noncleft controls. Both cleft groups had similar vertical dimensions, but early ABG at 2.5 years of age was associated with reduced anterior maxillary development with an SNA of 75.4° in the early-grafted group versus 77.8° in the late-grafted group ( P = .005).…”

Section: Discussionmentioning

confidence: 99%

Facial Growth of Patients With Complete Unilateral Cleft Lip and Palate Treated With Alveolar Bone Grafting at 6 Years

Doucet

Russell²,

Daskalogiannakis

et al. 2018

The Cleft Palate-Craniofacial Journal

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“…According to Brudnicki et al, not only GPP but also ABG surgery, regardless of the timing of surgery, can cause vertical and horizontal maxillary growth restriction [19]. Compared with the late surgery group, the early ABG group presented more severe growth disturbance in both the sagittal and vertical directions [20].…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcomes of Secondary Alveolar Bone Grafting and Extensive Gingivoperiosteoplasty Performed at Mixed Dentition Stage in Unilateral Complete Cleft Lip and Palate

Chu

Chang

et al. 2020

JCM

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Secondary alveolar bone grafting (SABG) is associated with donor site morbidities. We aimed to compare the outcomes of SABG and extensive gingivoperiosteoplasty (EGPP) at the mixed dentition stage. This single-blinded, randomized, prospective trial enrolled 50 consecutive patients with unilateral complete cleft lip and palate who had residual alveolar bone cleft, of which 44 (19 SABG, 25 EGPP) completed the study. Bone volumes before surgery, 6 months postoperatively, and 1-year postoperatively were compared using computed tomography. The Bergland scale score was recorded at 6 months postoperatively. Both groups had the same preoperative alveolar cleft volume. On the Bergland scale, 21, 3, and 1 patient in the EGPP group and 16, 2, and 1 patient in the SABG group were classified as types I, II, and IV, respectively, which did not show significant difference. With perioperative orthodontic treatment, the 1-year residual bone defect volume in both groups did not show significant difference (SABG 0.12 cm3 vs. EGPP at 0.14 cm3, p > 0.05). The study was not able to reveal much difference between SABG and EGPP combined with perioperative orthodontic treatment.

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Cephalometric comparison of early and late secondary bone grafting in the treatment of patients suffering from unilateral cleft lip and palate

Cited by 19 publications

References 18 publications

Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients

Comparative Outcomes of Block and Cancellous Iliac Bone Grafting in Older Unilateral Alveolar Cleft Patients

Facial Growth of Patients With Complete Unilateral Cleft Lip and Palate Treated With Alveolar Bone Grafting at 6 Years

Surgical Outcomes of Secondary Alveolar Bone Grafting and Extensive Gingivoperiosteoplasty Performed at Mixed Dentition Stage in Unilateral Complete Cleft Lip and Palate

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