Iliac Crest Donor Site for Children With Cleft Lip and Palate Undergoing Alveolar Bone Grafting

Wheeler, Jonathan; Sanders, Megan; Loo, S. C. S.; Moaveni, Zac; Bartlett, Glenn; Keall, Heather; Pinkerton, Mark

doi:10.1097/scs.0000000000002498

Cited by 11 publications

(8 citation statements)

References 22 publications

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“…In 2016, Wheeler et al16 conducted a retrospective study to accurately assess donor site morbidity from iliac crest bone harvesting for secondary bone grafting in patients with cleft lip and palate alveolar defects. Fifty patients (32 males and 28 females) were included.…”

Section: Discussionmentioning

confidence: 99%

Comparison of minimally invasive versus conventional open harvesting technique for iliac bone graft in secondary alveolar bone grafting in cleft palate patients: a systematic review

Saha

Shah

Waknis

et al. 2019

JKAOMS

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This study evaluated and compared the donor site morbidity following minimally invasive and conventional open harvesting of iliac bone for secondary alveolar bone grafting in cleft palate patients. A thorough electronic search of PubMed, Google Scholar, EMBASE, and an institutional library and manual search of various journals was done; Inclusion criteria: 1) full-text articles using a minimally invasive or conventional open harvesting technique for iliac bone for secondary alveolar grafting in cleft palate patients and 2) articles published between January 1, 2001 and June 30, 2017 and Exclusion criteria: 1) articles published in languages other than English, 2) case reports, case series, animal studies, in vitro studies, and letters to the editor, and 3) full-text article unavailable even after writing to the authors. Preliminary screening of 274 studies excluded 223 studies for not meeting the eligibility criteria. Of the remaining 51 studies, 19 were removed for being duplicates. Of the remaining 32 studies, 15 were excluded after reading the abstract. Of the 17 studies that were left, 2 were excluded because they were in a language other than English, and 2 were excluded because the study group did not mention cleft palate patients. Thus, 13 studies providing results for a total of 654 patients were included in this qualitative synthesis. Minimally invasive bone graft harvest techniques are better than the conventional open iliac bone harvest method because they offer shorter operative time, decreased requirement for pain medications, less pain on discharge, and a shorter hospital stay.

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Section: Discussionmentioning

confidence: 99%

Comparison of minimally invasive versus conventional open harvesting technique for iliac bone graft in secondary alveolar bone grafting in cleft palate patients: a systematic review

Saha

Shah

Waknis

et al. 2019

JKAOMS

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“…Earlier secondary bone grafting around the ages of 4‐7 years may be indicated prior to the eruption of lateral incisors or if the cleft is mesial to the lateral incisor . Secondary bone grafting can be a difficult surgical procedure to undertake with a degree of morbidity, particularly at the donor site . The success of the graft, as measured by bone fill, can be variable with poorer results reported when grafting has been delayed after the canine has erupted or where there is a flap dehiscence complication post‐graft .…”

Section: Introductionmentioning

confidence: 99%

Bone fill following secondary alveolar bone grafting for children with cleft of the alveolus in New Zealand

Fowler

Al-Ani

Thompson

2019

Orthod Craniofacial Res

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Structured Abstract Objective To investigate the amount of bone fill post‐secondary alveolar bone grafting for children with cleft in New Zealand. Settings and Sample Population Retrospective analysis of post‐operative intra‐oral periapical and upper anterior occlusal radiographs of 45 grafted sites where all grafting was undertaken within the New Zealand public hospital service. Materials and Methods A modified Kindelan Index and a 100 mm visual analogue scale (VAS) were used to assess the amount of bone fill using intra‐oral radiographs by 4 orthodontists experienced in cleft care and who were blind to the patient's identity. Fourteen duplicated radiographs were randomly selected and added to the sample for reliability assessment. Results The Kindelan Index rated 37.8% Grade 1 (Good), 31.1% rated Grade 2 (Satisfactory), 22.2% rated Grade 3 (Unsatisfactory) and 8.9% Grade 4 (Failure), a combined unsatisfactory/failure rate of 31.1%. The average VAS score was 50 mm ± 24 mm, and there was a strong relationship between Kindelan and VAS assessments. Those patients aged 10‐11 years had significantly better outcomes using both assessments compared to those aged <10 and >11. The VAS assessment found that higher caseload surgeons had better outcomes, although the difference was of borderline statistical significance (mean VAS 56 mm vs 44 mm P = 0.07). Conclusions Contemporary secondary alveolar bone grafting bone fill outcomes in New Zealand are poor when compared to contemporary international studies. These findings indicate a review of secondary bone grafting is required to improve outcomes for New Zealand children with cleft.

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“…30–34 Over time, studies by Swan and Goodacre, Rawashdeh and Telfah, Baquain et al, Kolomvos et al, and Wheeler et al demonstrated that open iliac bone harvest was well-tolerated by patients and had relatively low complication rates. 19,35–38 For the most part, patient experiences of pain from the iliac donor site were within expectations and lasted only a few days, most considered the scar acceptable, and few patients experienced long-term morbidity such as paresthesia or significant contour deformities. 39 Still, surgeons seeking to further reduce donor-site morbidity studied various methods of minimally invasive iliac bone harvest using methods such as French’s osteotome, Shepard’s osteotome, power-driven trephine, trocar and trephine, cylinder bone extractor, and trephine burrs.…”

Section: Discussionmentioning

confidence: 99%

Improved Success Rate with Corticocancellous Block Compared to Cancellous-Only Trephine Technique in Alveolar Bone Grafting from the Iliac Crest

Lee

Alford

Willson

et al. 2022

Plastic &Amp; Reconstructive Surgery

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econstruction of the maxillary alveolar process is an important step in the treatment of patients with cleft lip and palate. Bony continuity of the arch allows for maintenance of maxillary width, stability during orthognathic surgery, elimination of oronasal fistulae, nasal base support, proper dental eruption, and support of orthodontic movements. 1,2 Reconstruction of the alveolar cleft was first described by von Eiselberg at the turn of the twentieth century and, since then, various techniques have been described, including those originating from rib, tibia, mandible, and cranium. 1,3-5 Schmid first described grafting iliac bone into the alveolar cleft in 1954, and since then the iliac crest has become the most commonly used donor site for alveolar reconstruction. 6 Iliac bone has many advantages, including

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Iliac Crest Donor Site for Children With Cleft Lip and Palate Undergoing Alveolar Bone Grafting

Cited by 11 publications

References 22 publications

Comparison of minimally invasive versus conventional open harvesting technique for iliac bone graft in secondary alveolar bone grafting in cleft palate patients: a systematic review

Comparison of minimally invasive versus conventional open harvesting technique for iliac bone graft in secondary alveolar bone grafting in cleft palate patients: a systematic review

Bone fill following secondary alveolar bone grafting for children with cleft of the alveolus in New Zealand

Improved Success Rate with Corticocancellous Block Compared to Cancellous-Only Trephine Technique in Alveolar Bone Grafting from the Iliac Crest

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