Abstract
Introduction: Orofacial clefts are the most common craniofacial defects and second most common to club foot. This global deformity has an average world wide incidence of 1 in 1000 in U.S., 1 in 600 in U.K. and 1 in 2000 in blacks with cleft lip with or without cleft palate, it is the result of multi-factorial genetic and environmental factors. Aims and objectives: To determine the efficacy in the management of alveolar clefts by secondary alveolar bone grafting using iliac crest autogenuous bone graft. Materials and methods: This study was conducted on patients with alveolar clefts who reported to the Department of Oral and Maxillofacial Surgery, Dental College, Thiruvananthapuram. Six patients were studied, three males and three females with ages from 14 to 21. All cases had unilateral alveolar cleft with oronasal fistulae and three by nasal regurgitation. Result: Bone defect grafted with autogenous corticocancellous iliac crest bone graft. Complete elimination of oronasal fistula was achieved in all cases. Support for the ala of nose was satisfactory. Alveolar ridge morphology improved appreciably graft take up was evaluated at an interval of 2, 4 and 6 months. Summary and conclusion: All patients were evaluated clinically and radiologically and all of them seem to have benefited from the procedure.
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