Bone Formation in Unilateral Cleft Lip and Palate Patients after Early Secondary Gingivoalveoloplasty and Bone Graft: Long-Term Study.

IF 3.4 2区医学 Q1 SURGERY Plastic and reconstructive surgery Pub Date : 2025-03-01 Epub Date: 2024-08-20 DOI:10.1097/PRS.0000000000011684

Luca Autelitano, Daniele Hamaui, Valeria M A Battista, Federico Biglioli, Maria C Meazzini

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Abstract

Background: The aim of this study was to conduct a comparative analysis, using computed tomographic scans, of ossification patterns in unilateral cleft lip and palate patients who underwent early secondary gingivoalveoloplasty (esGAP) versus those who underwent traditional alveolar bone grafting harvested from the iliac crest (IC).

Methods: Computed tomographic scans of 22 consecutively treated patients with esGAP were compared with those of 21 patients treated with bone grafting from the IC. Inclusion criteria were nonsyndromic unilateral cleft lip and palate patients in permanent dentition. Two parameters were considered: the alveolar thickness, measured at 3 levels, and the nasoalveolar height. All measurements were normalized and ratios of the affected versus nonaffected sides were provided as in addition to the statistical comparison between the 2 groups' ossification outcomes.

Results: In the esGAP sample, nasoalveolar height was categorized as ideal and good in 86.36% and in 13.64% of the cases, and no mediocre or insufficient ossification was detected; whereas in the bone grafting sample, 38.10% had ideal and good ossification, 14.29% had mediocre ossification, and 9.52% had insufficient ossification. As regards the alveolar thickness, when we consider the average of 3 levels, the esGAP sample was ideal and good in 57.57% and in 30.30% of the cases; for the IC sample, the alveolar thickness was ideal and good 41.27% and in 25.40% of the cases, respectively. The analysis detected a statistically significant difference in the ossification outcomes in the 2 samples.

Conclusion: The esGAP yields superior ossification grades in comparison to IC bone grafting.

Clinical relevance statement: In unilateral cleft lip and palate patients, esGAP seems to allow for a higher grade of ossification compared to IC bone grafting.

Clinical question/level of evidence: Therapeutic, III.

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单侧唇腭裂患者早期二次龈瓣成形术和植骨后的骨形成：长期研究。

研究背景本研究的目的是通过 CT 扫描，对接受早期继发性牙槽骨成形术（esGAP）和传统的髂嵴牙槽骨移植术（IC）的单侧唇腭裂（UCLP）患者的骨化模式进行比较分析。方法：对连续接受 esGAP 治疗的 22 名患者的 CT 扫描结果与接受髂嵴牙槽骨移植术（IC）的 21 名患者的 CT 扫描结果进行比较。纳入标准为恒牙期非综合征 UCLP 患者。研究考虑了两个参数：在三个水平测量的牙槽厚度和鼻牙槽高度。所有测量值均已归一化，并提供了患侧与非患侧的比率以及两组骨化结果的统计比较：在 esGAP 样本中，86.36% 的病例和 13.64% 的病例的鼻齿槽高度被归类为理想和良好，没有发现骨化平庸或不足的情况；而在植骨样本中，38.10% 的病例骨化理想和良好，14.29% 的病例骨化平庸，9.52% 的病例骨化不足。至于牙槽骨厚度，当我们考虑三个水平的平均值时，esGAP样本中分别有57.57%和30.30%的病例达到了理想和良好的厚度，而IC样本中分别有41.27%和25.40%的病例达到了理想和良好的厚度。分析发现，两种样本的骨化结果在统计学上存在显著差异：结论：与 IC 骨移植相比，EsGAP 的骨化等级更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and reconstructive surgery 医学-外科

CiteScore

5.00

自引率

13.90%

发文量

1436

审稿时长

1.5 months

期刊介绍： For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.