Secondary Alveolar Bone Grafting Using Iliac Corticocancellous Bone Plate With Suture Fixation Technique: A Pilot
Haizhou Tong1, Yilve Zheng, Qian Wu
1Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
The Journal of Craniofacial Surgery
|April 17, 2025
Summary
This study evaluated a novel iliac bone plate technique for secondary alveolar bone grafting in cleft lip and palate patients. The method demonstrated adequate stability and a mean bone fill of 63.8% at six months.
Area of Science:
- Craniofacial surgery
- Oral and maxillofacial surgery
- Plastic surgery
Background:
- Cleft lip and palate (CLP) often requires secondary alveolar bone grafting (ABG).
- Assessing novel fixation techniques for ABG is crucial for successful outcomes.
Purpose of the Study:
- To evaluate the efficacy of the iliac corticocancellous bone plate with suture fixation for secondary ABG in CLP patients.
Main Methods:
- Nine CLP patients underwent ABG using a technique involving compressed cancellous bone and a labial cortical bone plate secured with sutures.
- Pre- and postoperative CT scans were utilized for quantitative assessment of bone fill and alveolar bone bridge formation.
Main Results:
- A mean bone fill of 63.8% was observed at six months post-surgery.
- Bone formation was predominantly noted on the nasal floor and labial aspects.
- Surgical outcomes were categorized as 1 poor, 5 moderate, and 3 good.
Conclusions:
- The iliac corticocancellous bone plate with suture fixation provides a stable alternative for secondary alveolar bone grafting.
- This technique shows promise for improving bone fill in alveolar cleft defects.
