Alveolar Cleft Grafting
Conditions
Keywords
bone marrow concentrate, alveolar cleft, CBCT, Bone density, bone volume
Brief summary
The aim of this study will be to analyze the newly formed bone volume and density, 6 months after alveolar cleft grafting using iliac cancellous bone graft, with and without bone marrow concentrate.
Detailed description
Twelve patients with unilateral alveolar cleft will be enrolled in this randomized comparative study. The patients will be divided into two groups, the control (group A) who received illiac cancellous bone graft and study group who received a combination of bone marrow concentrate and illiac cancellous bone graft (group B). Cone Beam CT (CBCT) images will be done prior to surgery to asses preoperative alveolar defect volume. Six months postoperative CBCT images will be done and postoperative newly bone formed volume and density will be evaluated and bone formation ratio (BF%) will be calculated as follows: BF% = (formed volume/alveolar defect) × 100%.
Interventions
patients will undergo surgery to repair alveolar cleft with autogenous bone graft combined with bone marrow concentrate
patients will undergo surgery to repair alveolar cleft with autogenous bone graft
Sponsors
Study design
Intervention model description
Eighteen patients will be divided into two equal groups. Each group comprises nine patients.
Eligibility
Inclusion criteria
* Patients suffering from maxillary alveolar cleft * Patient with Primary, complete cleft lip
Exclusion criteria
* Syndromic cases will be excluded * Previous operated cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| bone volume | six months postoperative | V= (A1xT) + ( A2 xT) + …….+ (An xT) where: V= volume A= area T= thickness of the axial C.T slice N=number of slices |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| bone density | six months postoperative | the average bone density will be measured from the CBCT |
| bone formation ratio | six months postoperative | BF% = (formed volume/alveolar defect) × 100%. |
Countries
Egypt