کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4117182 1270295 2016 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Assessment of bioabsorbable hydroxyapatite for secondary bone grafting in unilateral alveolar cleft
ترجمه فارسی عنوان
ارزیابی هیدروکسی آپاتیت bioabsorbable برای پیوند استخوان ثانویه در شکاف آلوئولار یک طرفه
کلمات کلیدی
شکاف آلوئولار؛ پیوند استخوان ثانویه؛ هیدروکسی آپاتیت؛ استخوان ایلیاک؛ MDCT؛ مهندسی به کمک کامپیوتر
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
چکیده انگلیسی

SummaryAimThe aim of this study was to evaluate the utility and efficacy of bioabsorbable hydroxyapatite and collagen complex for secondary bone graft in unilateral alveolar cleft.Patients and methodsFrom August 2013 to January 2014, 15 patients with unilateral cleft lip and alveolar cleft were enrolled and randomly assigned to two blinded groups. In group I, a cancellous iliac bone graft was placed at the alveolar cleft. In group II, 0.5 ml of HA/Col was placed at the alveolar cleft, and the cancellous iliac bone was positioned in the remaining space. All patients underwent bone grafting with particulate cancellous bone and marrow taken from the anterior iliac crest.ResultsNo complications were observed in any patient. The groups did not differ in age, cleft volume, or surgical duration. Intraoperative blood loss and patient-controlled intravenous analgesia (PCA) use were significantly lower in group II (p < 0.05) in comparison to group I. The 1-month volume was 0.895 ml in group I and 0.482 ml in group II (p < 0.05). When the 1-month volume in group II was adjusted for 0.5-ml volume of HA/Col, there was no significant difference in the 1-month volumes (p = 0.32). The 6- and 12-month volumes did not differ significantly between the groups (p = 0.768 and p = 0.165, respectively).ConclusionThe autogenous bone was gradually absorbed, while the HA/Col was absorbed and replaced by the autogenous bone. Thus, HA/Col can be used as an iliac graft in alveolar bone graft procedures to reduce the amount of autogenous bone required from the crest, patient stress, and morbidity.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 69, Issue 4, April 2016, Pages 493–496
نویسندگان
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