“…Examples include collagens, 85 gelatins, 86 silks, 87 fibrin, 88,89 and ECM, 90 some of which are available in medical grades and diverse forms (e.g., sponges, sheets, pastes, glues) and are approved by the U.S. Food and Drug Administration (FDA) for application in bone tissue engineering (e.g., Collapat Ò [BioMet, Inc.], BioGide [Geis-tlichPharma AG, Switzerland], and CollagraftÔ [Collagen Corp.]). 91 Multiple preclinical studies have utilized fibrin, 92,93 collagen, 92,[94][95][96][97] and gelatin 98 independently or in combination with other natural scaffold materials, including polysaccharides, proteins, and inorganic calcium solids, to successfully repair cleft palate bony defects in preclinical models. Collagen scaffolds have also been employed to manage alveolar clefts in 8-to 15-year-old human patients, 99 but secondary palatal cleft repair with natural scaffolds has not yet been reported in human infants.…”