Yeungnam Univ J Med.  1991 Jun;8(1):198-205. 10.12701/yujm.1991.8.1.198.

Case reports of bone grafting in unilateral alveolar-palatal cleft patients

• Bae YH
• Park JH
• Lee MJ
• Lee CG
• Chin BR
• Lee HK

• KMID: 2377525
• DOI: http://doi.org/10.12701/yujm.1991.8.1.198

Abstract

We obtained successful functional and esthetic results by grafting of iliac marrow-cancellous bone in 2 cases of alveolar-palatal cleft patients. Bone graft of alveolar-palatal clefts provide bony support to adjacent teeth of cleft area, prevented from relapse of orthodontic arch expansion, closure of oroantral fistula and improvement of speech problem. 1. In one case, extraction of upper right central incisor that was little bone support, alignment of rotated teeth and expansion of collapsed arch segment were done with pre-orthodontic treatment. The other case. Bone grafting was done after removal of prosthesis with no pre-orthodontic treatment. 2. After mucoperiosteal incision in cleft area, the mucosal flap of labial area, palate and nose were separation and the raised nasal mucosa was sutured for closure of oroantral fistula. Then, the iliac marrow-cancellous bones were grafted to cleft site. 3. After 6 months of operation, we had seen the new bone deposition to cleft site in dental radiograph and prosthetic treatment of missing teeth were done.

Keyword

Alveolar palatal cleft; Iliac marrow-cancellous bone; Oroantral fistula; Speech improvement; Bone graft

MeSH Terms

Bone Transplantation*
Humans
Incisor
Nasal Mucosa
Nose
Oroantral Fistula
Palate
Prostheses and Implants
Recurrence
Tooth
Transplants