alveolar cleft iliac crest bone grafting Alveolar cleft Cleft Lip Cleft Palate Bone Transplantation Ilium Iliac crest bone graft Pain, Postoperative Randomized Controlled Trial
Conditions
Interventions
Clamshell Technique:
An open surgical approach is performed at the anterior iliac crest. After a skin incision, soft tissue dissection exposes the iliac bone. A greenstick fracture of the outer cortic
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
iliac crest bone graft using clamshell technique,iliac crest bone graft using Trephine bur
Sponsors
Faculty of dentistry Khon Kaen University
Eligibility
Sex/Gender
All
Age
8 Years to 18 Years
Inclusion criteria
Inclusion criteria: 1. Alveolar cleft Patients who is going to receive unilateral alveolar bone graft 2. Age 8 years to 18 years old. 3. ASA class I or II according to American Society of Anesthesiologists classification, 2023 (53) 4. Iliac crest cancellous bone is selected as a source of bone graft material
Exclusion criteria
Exclusion criteria: 1. History of previous iliac crest bone harvesting at the selected donor site 2. History of trauma at selected donor site 3. Patients who have systemic bone disease. 4. Patients who have local bone abnormality at pelvic area 5. Patients with any communication problem e.g. autism
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Donor site pain score measured by Numeric Rating Scale (NRS) within 42 hours postoperatively At 1, 6, 12, 18, 24, 30, 36, and 42 hours postoperatively numerical rating scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Total Morphine Consumption 0 to 42 hours postoperatively Cumulative dose recorded in milligrams from anesthesia records and postoperative nursing charts,Total Paracetamol Consumption 0 to 42 hours postoperatively Cumulative dose recorded in milligrams from medical administration records,Operative Time Intraoperative Duration from skin incision to skin closure, recorded by the surgical team in minutes,Time to First Ambulation Postoperative period Time recorded in hours from end of surgery until first successful ambulation, documented by nursing staff,Postoperative Complications Monitored continuously from 0 to 7 days postoperatively or until discharge Clinical assessment and documentation of any donor-site complications (e.g., infection, hematoma, gait disturbance) classified as minor or major | — |
Countries
Thailand
Contacts
Public ContactBoonsita Wuttirak
Faculty of Dentistry, Khon Kaen University, Khon Kaen
Outcome results
None listed