SS  Vol.4 No.1 , January 2013
Naso Alveolar Cleft Reconstruction: Does Patients’ Age Play a Factor in Postoperative Complication Rate?
Author(s) Almasri Mazen*
Abstract

Purpose: The purpose of this report is to compare the outcome of unilateral alveolar cleft reconstruction (ACR) in patients aged 6 - 8 years versus older more comprehending patients aged 9 - 12 years. Materials and Methods: A chart review (from March 2006 to June 2010) was conducted of patients who had alveolar cleft reconstruction using anterior iliac crest bone graft. All the cases included are non syndromic healthy patients whom had unilateral alveolar cleft and were operated for the first time. A total of 49 healthy patients were included in the study. Twenty-four had their surgery between the age of 6 and 8 (Group A), and twenty-five had theirs between 9 and 12 (Group B). The postoperative recovery and complications were compared between the two groups. Results: In group A, 16% (n = 4) showed minimal wound dehiscence while 8% (n = 2) had a minor wound infection due to food particles wedged in the wound. In Group B, 20% (n = 5) of the patients presented with minimal wound dehiscence, while 12% (n = 3) had minor wound infection due to food particles wedged in the wound. No significant difference was found between the two groups using Fishers exact test, two-tailed p-value >0.05. Conclusion: Age factor was not found to be a factor contributing to ACR complication rate.


Cite this paper
Mazen, A. (2013) Naso Alveolar Cleft Reconstruction: Does Patients’ Age Play a Factor in Postoperative Complication Rate?. Surgical Science, 4, 89-91. doi: 10.4236/ss.2013.41016.
References

[1]   B. J. Costello and R. L. Ruiz, “Comprehensive Treatment Planning and Primary Repair,” 2nd Edition, BC Decker, Hamilton, 2004, pp. 839-858.

[2]   M. Melnick, D. Bixler, P. Fogh-Anderson, et al., “Cleft Lip Palate: An Overview of the Literature an Analysis of Danish Cases Born between 1941-1968,” American Journal of Medical Genetics, Vol. 6, No. 1, 1980, pp. 83-87. doi:10.1002/ajmg.1320060108

[3]   M. W. Ochs, “Alveolar Cleft Bone Grafting (Part II): Secondary Bone Grafting,” Journal of Oral and Maxillofacial Surgery, Vol. 54, No. 1, 1996, pp. 83-88. doi:10.1016/S0278-2391(96)90311-0

[4]   O. G. Da Silva Filho, S. G. Teles, T. A. Ozawa, et al., “Secondary Bone Graft and Eruption of the Permanent Canine in Patients with Alveolar Clefts: Literature Review and Case Report,” Angle Orthodontist, Vol. 70, No. 2, 2000, pp. 174-178.

[5]   G. Iannetti, P. Cascone, A. Saltarel, et al., “Le Fort I in Clefts Patients: 20 Years’ Experience,” Journal of Craniofacial Surgery, Vol. 15, No. 4, 2004, pp. 662-669. doi:10.1097/00001665-200407000-00025

[6]   J. J. Janulewicz, B. J. Costello, M. J. Buckly, et al., “The Effect of Le Fort I Osteotomies on Velopharyngeal and Speech Function in Cleft Patients,” Journal of Oral and Maxillofacial Surgery, Vol. 62, No. 3, 2004, pp. 308-314. doi:10.1016/j.joms.2003.08.014

[7]   D. S. Precious, “Alveolar Bone Grafting at 6 Years of Age,” Journal of Oral and Maxillofacial Surgery, Vol. 67, No. 10, 2009, pp. 2045-2053. doi:10.1016/j.joms.2009.04.102

[8]   G. Semb and T. Ramstad, “The Influence of Alveolar Bone Grafting on the Orthodontic and Prosthodontic Treatment of Patients with Cleft Lip and Palate,” Dental Update, Vol. 26, No. 2, 1999, pp. 60-64.

[9]   S. Yilmaz, A. R. Kilic, A. Keles and E. Efeoglu, “Reconstruction of an Alveolar Cleft for Orthodontic Tooth Movement,” American Journal of Orthodontics & Dentofacial Orthopedics, Vol. 117, No. 2, 2000, pp. 156-163. doi:10.1016/S0889-5406(00)70226-5

[10]   T. Ozawa, S. Omura, E. Fukuyama, Y. Matsui, K. Torikai and K. Fujita, “Factors Influencing Secondary Alveolar Bone Grafting in Cleft Lip and Palate Patients: Prospective Analysis Using CT Image Analyzer,” Cleft Palate-Craniofacial Journal, Vol. 44, No. 3, 2007, pp. 286-291. doi:10.1597/06-054

[11]   O. G. da Silva Filho, E. Boiani, A. de Oliveira Cavassan and M. Santamaria Jr., “Rapid Maxillary Expansion after Secondary Alveolar Bone Grafting in Patients with Alveolar Cleft,” Cleft Palate-Craniofacial Journal, Vol. 46, No. 3, 2008, pp. 331-338. doi:10.1597/07-205.1

[12]   A. Muthy and J. Lehman, “Secondary Alveolar Bone Grafting: An Outcome Analysis,” Canadian Journal of Plastic Surgery, Vol. 14, No. 3, 2006, pp. 172-174.

[13]   J. Lilja, A. Kalaaji, H. Friede and A. Elander, “Combined Bone Grafting and Delayed Closure of the Hard Palate in Patients with Unilateral Cleft Lip and Palate: Facilitation of Lateral Incisor Eruption and Evaluation of Indicators for Timing of the Procedure,” Cleft Palate-Craniofacial Journal, Vol. 37, No. 1, 2000, pp. 98-105. doi:10.1597/1545-1569(2000)037<0098:CBGADC>2.3.CO;2

 
 
Top