Download PDF
CC BY-NC 4.0 · Arch Plast Surg 2013; 40(05): 542-545
DOI: 10.5999/aps.2013.40.5.542
Original Article

Nostril Base Augmentation Effect of Alveolar Bone Graft

Woojin Lee
Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
,
Hyung Joon Park
Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
,
Hyun Gon Choi
Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
,
Dong Hyeok Shin
Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
,
Ki Il Uhm
Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
› Author Affiliations
› Further Information
   Permissions and Reprints

Background The aims of alveolar bone grafting are closure of the fistula, stabilization of the maxillary arch, support for the roots of the teeth adjacent to the cleft on each side. We observed nostril base augmentation in patients with alveolar clefts after alveolar bone grafting. The purpose of this study was to evaluate the nostril base augmentation effect of secondary alveolar bone grafting in patients with unilateral alveolar cleft.

Methods Records of 15 children with alveolar clefts who underwent secondary alveolar bone grafting with autogenous iliac cancellous bone between March of 2011 and May of 2012 were reviewed. Preoperative and postoperative worm's-eye view photographs and reconstructed three-dimensional computed tomography (CT) scans were used for photogrammetry. The depression of the nostril base and thickness of the philtrum on the cleft side were measured in comparison to the normal side. The depression of the cleft side pyriform aperture was measured in comparison to the normal side on reconstructed three-dimensional CT.

Results Significant changes were seen in the nostril base (P=0.005), the philtrum length (P=0.013), and the angle (P=0.006). The CT measurements showed significant changes in the pyriform aperture (P<0.001) and the angle (P<0.001).

Conclusions An alveolar bone graft not only fills the gap in the alveolar process but also augments the nostril base after surgery. In this study, only an alveolar bone graft was performed to prevent bias from other procedures. Nostril base augmentation can be achieved by performing alveolar bone grafts in children, in whom invasive methods are not advised.

Keywords

Alveolar process - Cleft palate - Alveoloplasty - Bone transplantation


Publication History

Received: 29 May 2013

Accepted: 31 July 2013

Article published online:
01 May 2022

© 2013. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Hoffman WY, Mount D. Cleft palate repair. In: Mathes SJ, Hentz VR. Plastic surgery. 2nd ed. Philadelphia: Sanders Elsevier; 2006. Vol. 4. 263-266
    Google Scholar
  • 2 Bergland O, Semb G, Abyholm FE. Elimination of the residual alveolar cleft by secondary bone grafting and subsequent orthodontic treatment. Cleft Palate J 1986; 23: 175-205
    PubMedGoogle Scholar
  • 3 United Nations Human Rights. 2002 Convention on the Rights of the Child [Internet]. Geneva: Switzerland; 2013. cited 2013 Aug 17 Available from: https://www.ohchr.org/en/professionalinterest/pages/crc.aspx
    Google Scholar
  • 4 Hoffman WY, Mount D. Cleft palate repair. In: Mathes SJ, Hentz VR. Plastic surgery. 2nd ed. Philadelphia: Sanders Elsevier; 2006. Vol. 1. 159-161
    Google Scholar
  • 5 Lee C, Crepeau RJ, Williams HB. et al. Alveolar cleft bone grafts: results and imprecisions of the dental radiograph. Plast Reconstr Surg 1995; 96: 1534-1538
    CrossrefPubMedGoogle Scholar
  • 6 Kim JR, Jin SJ, Cho YC. et al. Clinical study of autogenous secondary bone grafting in cleft maxilla. J Korean Assoc Maxillofac Plast Reconstr Surg 2001; 23: 162-168
    Google Scholar
  • 7 Stassen LF. Alveolar bone grafting-how I do it. Booth PW, Hausamen JE, Schendel SA. Maxillofacial surgery. Edinburgh: Churchill Livingstone; 1999: 1047-1055
    Google Scholar
  • 8 Kim KR, Kim S, Baek SH. Change in grafted secondary alveolar bone in patients with UCLP and UCLA: a three-dimensional computed tomography study. Angle Orthod 2008; 78: 631-640
    CrossrefPubMedGoogle Scholar
  • 9 Farkas LG, Bryson W, Klotz J. Is photogrammetry of the face reliable?. Plast Reconstr Surg 1980; 66: 346-355
    CrossrefPubMedGoogle Scholar
  • 10 Bearn DR, Sandy JR, Shaw WC. Photogrammetric assessment of the soft tissue profile in unilateral cleft lip and palate. Cleft Palate Craniofac J 2002; 39: 597-603
    CrossrefPubMedGoogle Scholar
  • 11 Han K, Kwon HJ, Choi TH. et al. Comparison of anthropometry with photogrammetry based on a standardized clinical photographic technique using a cephalostat and chair. J Craniomaxillofac Surg 2010; 38: 96-107
    CrossrefPubMedGoogle Scholar