Author(s): Matsa S, Murugan S, Kannadasan K
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Abstract PURPOSE: To evaluate the morbidity associated with iliac crest harvest for alveolar cleft grafting. PATIENTS AND METHODS: 18 patients treated for alveolar clefts in oral and maxillofacial surgery unit at SRM dental college and Hospital were included. Patients were interviewed to fill a questionnaire on postoperative recovery. The donor site was evaluated for the following factors: Pain, neuropraxia, abnormal gait and scar evaluation. RESULTS: The scars were evaluated, according to the satisfactory score-eleven patients (61.11\%) had a score 2, Four patients (22.22\%) had score 3 and three patients (16.66\%) had score 1. The pain score after the first week-thirteen patients (72.22\%) had score 2, five patients had score 3 (27.77\%). After the first month-four patients (22.22\%), had score 2, twelve patients (66.66\%), had score 1 and Two patients (11.11\%) had score 0. And when evaluated after 3 months, two patients (11.11\%), had score 1 and sixteen patients (88.88\%) had score 0. The gait was examined by asking the patient to walk and evaluated; in the first week, all eighteen patients had abnormality in gait; in the first month, five patients had abnormality in gait (27.77\%), and in the third month, none of the patients had any abnormality in gait. CONCLUSIONS: Harvesting cancellous bone from anterior iliac crest in young patients is well tolerated, allows early resumption of normal activities, has no effect on growth, has minimal morbidity and a reasonable aesthetic outcome.
This article was published in J Maxillofac Oral Surg
and referenced in Journal of Tissue Science & Engineering