Eacial Growth and the Need for Secondary Surgical Procedures After Primary Alveolar Bone Grafting in Cleft Patients

摘要

Prior to 1900, no surgical intervention was performed for the alveolar cleft, though techniques for repair of the cleft Up (CL) and cleft palate (CP) were already established. By the early 1900's, surgeons began describing techniques to fill the alveolar defect with autogenous bone; sources of bone included the tibia, cranium, iliac crest and rib. By the 1950's, alveolar bone grafting had become standard of care for patients with an alveolar cleft and was routinely performed when the infant was under a year of age. In preparation for the bone graft, infants were fitted with a passive palatal molding appliance that guided the abutment of the maxillary segments in preparation for bone grafting. Rib was harvested for filling of the alveolar cleft.