Cleft Lip and Palate
Conditions
Keywords
tissue engineering., stem cells., autogenous grafts.
Brief summary
Description of the research question In children undergoing unilateral alveolar cleft reconstruction, would stem cells carried on collagen scaffold provide bone of a good quality and quantity if compared to autogenous bone grafting? Objective of the study: • Research hypothesis The tissue engineered constructs will provide sufficient bone of a good quality and quantity if compared to autogenous bone graft in children undergoing unilateral alveolar cleft reconstruction. * The objectives The primary objective: Assessment of bone volume (quantity) which will be provided by tissue engineered constructs compared to that provided by autogenous bone for maxillary alveolar cleft reconstruction. The secondary objective: Assessment of bone density (quality) which will be provided by tissue engineered constructs compared to that provided by autogenous bone for maxillary alveolar cleft reconstruction.
Interventions
cultured and bone marrow derived autologous mesenchymal stem cells, loaded on collagen matrix (Osteovit)
Sponsors
Study design
Eligibility
Inclusion criteria
* Children with maxillary unilateral alveolar clefts requiring reconstruction * Children free from any systemic disease that may affect normal healing of bone * Children in an age range (8-14) year.
Exclusion criteria
* Bilateral alveolar clefts. * Cleft lip or palate not including the alveolus. * Immunocompromized patients. * Children who undergone previous bone grafting procedure for the alveolar cleft
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of changes in the bone volume at the grafted alveolar cleft site from the immediate postoperative to 6 months | Immediate postoperative and after 6 months | Measuring the bone volume on CT scan |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of changes in the bone density at the grafted alveolar cleft site from the immediate postoperative to 6 months | Immediate postoperative and after 6 months | Measuring the bone density on CT scan |