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Evaluation of morbidity associated with iliac crest harvest for alveolar cleft bone grafting
Sainath Matsa1, Senthil Murugan, Kamal Kannadasan
1SRM Dental College, Chennai, India.
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.
