The reconstruction ofanterior residual bone defects in patients with cleft lip, alveolus and palate a review

摘要: A re-evaluation is presented more than a decade after the 1973 review by Koberg of bone grafting in cleft palate. The various indications for, and aims procedure, are enumerated. optimal age for discussed as well operative procedures. Results few detailed studies included review. In conclusion present shifts emphasis mentioned: An depth analytical study numerical comparisons between many covering this subject hardly appropriate. Initially, primary early secondary osteoplasties became very popular, thereafter late or tertiary osteoplasty found general favour. At clear trend exists to operate at younger again: being performed 6-12 years age. However, number centres remains overall results different procedures appears continue improve, though ideal solutions still not exactly known, nor generally agreed upon. For time being, good result should be obtained 80% cases, complete failures seen 5% series. Autogenous far best graft material. Disagreement on viability autogenous from donor sites. Periodontal criteria parameters used frequently recent publications assessment Osteoplasty has relatively high chance success, especially groups. most institutions, however, too an operation considered cause disturbance growth development middle third face. Nevertheless, respect technique and/or orthodontic treatment seem play important role.