Custom-milled individual allogeneic bone grafts for alveolar cleft osteoplasty—A technical note. Issue 12 (December 2017)

• Record Type: Journal Article
• Authors: Otto, Sven; Kleye, Christin; Burian, Egon; Ehrenfeld, Michael; Cornelius, Carl-Peter
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 45:Issue 12(2017)
• Page Start: 1955
• Page End: 1961
• Publication Date: 2017-12
• Subjects: Alveolar cleft osteoplasty -- Cleft lip and palate -- Maxgraft bonebuilder -- Allograft -- Bone substitute; Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2017.09.011
• Languages: English
• ISSNs: 1010-5182

Abstract

Abstract: Introduction: Bone grafts from the iliac crest are most commonly used for osteoplasties of the cleft alveolus. To preclude undue donoresite morbidity custom-milled allogeneic bone grafts might be an appropriate choice. Material and methods: This technical note showcases the repair of an alveolar cleft using an individualized allogeneic bone graft in a 36-year old female patient. She was asking for an alternative to the iliac crest bone grafting. Her alveolus was successfully build up by a custom-milled cancellous bone block allograft (maxgraft ® 80 bonebuilder). Results: Custom-milled cancellous bone block allografts can greatly facilitate alveolar cleft repair and may present an effective treatment option under the premise that resorption resistance corresponds to autografts. Conclusion: Further clinical studies are needed to explore the potential of bone block allografts for alveolar cleft osteoplasty. Highlights: This technical note illustrates the use of custom-made allogeneic bone grafts for alveolar cleft osteoplasty. This technique combines the avoidance of donor site morbidity and provides exact fit. To the best of our knowledge this is the first report about custom-milled allogeneic bone grafts for alveolar cleft osteoplasty. The paper also discusses potential harms and risks of the method.