Efficacy of sticky bone (combined of autologous fibrin glue with bovine bone) in secondary cleft alveolar bone grafting | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 06 March 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.191119.1258 | ||
| Authors | ||
| hamada mahran1; samir elborolosy* 2; Moataz Rizq3; Mohamed Abdelfattah4; Mohammed Mohammed5; Mohamed Elshamaa6 | ||
| 1maxillofacial surgery unit , general surgery department , faculty of medicine , assiut university | ||
| 2Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Beni-Suef University, Beni-Suef, Egypt | ||
| 3Oral and Maxillofacial surgery, Alexandria University | ||
| 4Lecturer, Oral Biology, Faculty of Dentistry, Beni-Suef University, Egypt. | ||
| 5Lecturer, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Assiut University, Assiut, Egypt | ||
| 6Lecturer, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Beni-Suef University, Beni-Suef, Egypt | ||
| Abstract | ||
| Background: Bone grafting of the cleft maxilla before eruption of the permanent cuspid has become an accepted part of the management of patients with clefts involving the maxillary alveolus. The reasons for performing a bone graft are to stabilize the maxillary segments and provide bony support for the teeth adjacent to the cleft. The aim of the present study is clinical and radiographic evaluation of the outcome and efficacy of sticky bone (mixture of autologous fibrin glue (AFG) and bovine bone graft) as a bone substitute for the treatment of alveolar cleft. Patients and Methods: 41 patients with a total of 58 alveolar clefts, 17 bilateral and 24 unilateral clefts, treated by alveolar bone grafts using sticky bone. Their age ranged from 6 to 18 years with a mean of 11.6. The follow-up was up to one year. Results: From a total number of 58 alveolar clefts. Adequate healing was resented in 47 of them [30 of them were class I (51.7%) and 17 were class II (17%)]. Inadequate bone healing occurred in 11 clefts [ 6 of them were class III (10.3%) and 5 were class IV (8.6%)]. Conclusions: Bone grafting of alveolar clefts is a mandatory step in the management of cleft lip and palate patients, sticky bone could be considered as promising and effective bony substitute and could be used efficiently for the treatment of cleft alveolus as an alternative to autogenous bone grafts to avoid harvesting bone of the patient and its complications and the earlier the grafting producers are done, the better quality of grafted bone. | ||
| Keywords | ||
| Keywords: alveolar cleft; alveolar bone grafts; bone substitute; cleft lip and palate; sticky bone | ||
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