髂骨移植在齿槽裂的修复中的应用

Application of Iliac Crest Bone Graft in Reconstruction of Alveolar Bone Cleft

目的探讨应用髂骨移植在齿槽裂修复中的价值。方法自2005年7月至2006年11月对17例齿槽裂患者于全身麻醉下应用髂骨松质骨移植修复齿槽裂裂隙。结果本组17例患者术后随访3～6个月,齿槽裂均关闭,上唇及鼻外形改善明显,无口鼻漏复发等并发症。结论髂骨松质骨移植能有效关闭齿槽裂;髂骨松质骨骨量丰富,切取方便;该手术具有手术时间短,出血少,并发症少等优点。

Objective To investigate the value of iliac crest bone graft in reconstruction of alveolar bone cleft. Methods Under general anesthesia, the cancellous bone was harvested from right side iliac crest. And the cancellous bone was transplanted into the gap of alveolar bone cleft. Results Satisfactory results including morphologies of upper lips and noses were achieved in all of the patients. All the alveolar clefts were successfully closed. There was no oral-nasal fistulae relapse happened during follow-up. Conclusions Iliac crest cancellous bone servers as a good bone graft in reconstruction of alveolar bone cleft. The amount of cancellous bone from iliac crest is enough and the procedure of harvesting is quiet easy and timesaving. Other advantages are such as less bleeding, invasion and complications.