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Facial Artery Musculomucosal Flap and Bone Volume Gain in Alveolar Cleft Repair"

Evaluation of Facial Artery Musculomucosal Flap Technique On The Bone Volume Gain In Alveolar Cleft Repair.

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07512531
Enrollment
5
Registered
2026-04-06
Start date
2026-05-20
Completion date
2026-09-20
Last updated
2026-04-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

FAMM Flap Functional & Radiographic Review

Keywords

Alveolar cleft, bone grafting, FAMM, bone gain

Brief summary

Research question: Is the usage of the facial artery musculomucosal flap (FAMM) technique effective on the bone volume in the repair of alveolar cleft? Aim of the study: To evaluate the application of the facial artery musculomucosal flap (FAMM) technique on the bone volume in the repair of alveolar cleft. Trial design: clinical trial: one group, one arm containing (7) cases. Statement of the problem: The alveolar cleft has not obtained as much interest as labial or palatal clefts, and the management of this type of cleft remains controversial. There were multiple theories and preferred treatment methods regarding each step in alveolar cleft management according to grafting, the most appropriate age, the ideal material, and whether adjunctive procedures such as orthodontic expansion should be used before or after grafting. Alveolar bone grafting (ABG) has been widely used to repair the alveolar bone defect in most cleft cases. The aim of ABG is the restoration of dental arch continuity and maxillary stability, closure of the oronasal fistulae (ONF), facilitation of subsequent orthodontic treatment, enhancement of nasal symmetry, establishment of better oral hygiene, and limitation of the growth disturbances. FAMM flaps have been widely used for small- and medium-sized defects primarily of the oral cavity and other head and neck regions. Their clinical applications are diverse. They are mostly applied to reconstruct defects from tumor ablation, but other indications include repair of cleft palate, septal perforation, and osteoradionecrosis.

Detailed description

In this research, we aim to evaluate the usage the FAMM flap in alveolar cleft cases to review functional results and radiographic results on bone volume and complications that will occur in the cases with alveolar bony defects.

Interventions

PROCEDUREApplication of FAMM flap on bone graft in alveolar cleft

conventional approach for FAMM flap harvesting involves identifying the facial artery,

Sponsors

Cairo University
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
9 Years to 20 Years
Healthy volunteers
No

Inclusion criteria

1. The age of the patients will be 9-20 years. 2. Patients with palatal expansion orthodontic treatment.

Exclusion criteria

1. Active infections. 2. Underlying diseases.

Design outcomes

Primary

MeasureTime frameDescription
Bone volume. - Radiological evaluation using CBCT to measure bone height (H), bone width (W) and nasal floor (N).an average of 1 yearBone volume. \- Radiological evaluation using CBCT to measure bone height (H), bone width (W) and nasal floor (N).

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 7, 2026