Experience of the use of biodegradable membranes in alveolobonegrafting (cyte) in children with congenital cleft lip, palate and alveolar bone
DOI: 10.22138/2500-0918-2016-15-3-27-32
O.Ju. Ershova, A.G. Leonov, A.E. Tkachenko, G.V. Dolgopolova
Children's Scientific and Practical Medical Center “Bonum”,Yekaterinburg, Russian Federation
Abstract.
Experience of application of the combined transplant from an autogenic bone with use of the biodegraded membrane for elimination of defect of an alveolar shoot of the maxillain patients with cleft maxillofacial region is provided. Results of the alveolar bone plasticity which is carried out in Department of Reconstructive and Plastic Surgery of SPC «Bonum» (2011–2014) are estimated. The alveolar bone grafting method at patients with cleftlip and palate with use of the combined transplant is developed for achievement of optimum quality of the regenerat received as a result of bone plasticity us.The analysis of early complications after surgeries without use and with use of a membrane is carried out. In subgroup without use of a membrane the following results are received: the positive result of transaction in 63% of cases, in 26,7% — complication in the form of an exposure and rejection of a transplant. At 10% of patients of this group the re-alveoloplastika is carried out. In subgroup using a complication membrane in the form of an exposure of a transplant are not registered, the re-alveoloplastika is carried out to 3,3% of cases. Studying of delayed results of bone plasticity (in 8–12 months) with simultaneous control by a computer tomography has shown that quality of the carried-out operational benefits has allowed to recover completely integrity of an alveolar shoot on height and thickness.
Keywords:
a crevice of an alveolar shoot, an alveoloplastika, the biodegraded membrane an autograft. cleft alveolar bone, alveoloplastika
REFERENCE
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Authors
Ershova Ol'ga Ju.
Regional center congenital maxillofacial pathology
maxillofacial, plastic surgeon,
olga_hirurg@mail.ru
Leonov Aleksandr G.
maxillofacial, plastic surgeon, PhD, deputy. chief physician
Honored Doctor of the Russian Federation
Tkachenko Aleksej E.
maxillofacial, plastic surgeon, PhD, Head of the Department of Reconstructive and Plastic Surgery
alextka@mail.ru
Dolgopolova Galina V.
PhD, orthodontist highest category
dolgopolova@bonum.info
Children's Scientific and Practical Medical Center “Bonum”
Russian Federation, 620149, Yekaterinburg, Akademika Bardina str, 9a
Received — 26.11.2016
For citation:Ershova O.Ju., Leonov A.G., Tkachenko A.E., Dolgopolova G.V. Opyt ispol'zovanija biodegradiruemoj membrany pri al'veoloplastike u detej s vrozhdennoj rasshhelinoj verhnej guby, neba i al'veoljarnogo otrostka [Experience of the use of biodegradable membranes in alveolobonegrafting (cyte) in children with congenital cleft lip, palate and alveolar bone]. Vestn. Ural. Med. Akad. Nauki. – Journal of Ural Medical Academic Science. 2016, no. 3, pp. 27–32. DOI: 10.22138/2500-0918-2016-15-3-27-32 [In Russ.]
