장골의 해면 입자골 또는 블럭골을 이용한 치조열의 재건에 관한 비교 연구

RECONSTRUCTION OF ALVEOLAR CLEFTS WITH ILIAC CANCELLOUS PARTICULATE OR BLOCK BONE GRAFTS : A COMPARATIVE STUDY

  • 최병호 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 이충국 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 민연숙 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 홍순재 (연세대학교 치과대학 구강악안면외과학교실)
  • Choi, Byung-Ho (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Yi, Choong-Kook (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Min, Yon-Sook (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Hong, Soon-Xae (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 발행 : 2001.04.30

초록

Objective : The objective of this study was to determine which forms of iliac cancellous bone grafts better restore alveolar clefts. Study design : Forty consecutive patients who required a unilateral alveolar cleft graft were studied. Group I (20 patients) had reconstruction with iliac cancellous particulate bone grafts and group II (20 patients) had reconstruction with iliac cancellous block bone grafts. The two groups were evaluated radiographically and clinically. Results : The group with the block bone grafts showed less postoperative problems and better incorporation of the bone graft than the group with the particulate grafts. Conclusion : Surgical reconstruction of alveolar process defects in patients with alveolar cleft using iliac cancellous block bone is a more reliable method than particulate bone grafts both for closing the oronasal fistula and for building interalveolar septal height.

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