A September posting from Plastic & Reconstructive Surgery - the Journal of the American Society of Plastic Surgeons offers new findings on how the addition of supplemental demineralized bone matrix and cancellous allograft in cleft alveolar defects is safe and effective. The authors' allograft supplemental surgical technique is associated with low morbidity, shorter operative times, and higher rates of bone graft survival.
The r etrospective review of one institution's experience with cleft alveolar bone defects treated with traditional open iliac crest bone graft alone or minimal access iliac crest bone graft plus demineralized bone matrix and cancellous allograft was performed. All patients were treated with alveolar fistula repair with primary closure.
Twenty-two patients (17 unilateral and five bilateral clefts) were treated in group one and 14 (six unilateral clefts and eight bilateral clefts) in group two. The average operative time per alveolus was 147 minutes in group one and 111 minutes in group two. Average engraftment was 1.96 in group one and 1.20 in group two. In group one, canine eruption was complete in 71.4 percent, partial in 21.4 percent, and unerupted in 3.5 percent. In group 2, canine eruption was complete in 22 percent, partial in 55 percent, and unerupted in 18 percent. Bone graft extrusion occurred in six patients in group 1. There were no wound infections or deaths.
The full article can be found by clicking here.