Evaluation of Bone Volume After Secondary Bone Grafting in Unilateral Alveolar Cleft Using Computer-Aided Engineering.

The purpose of this study was to evaluate the initial defect and the outcome of bone grafts for unilateral alveolar cleft. To determine the absorption of the bone graft in patients with unilateral cleft, computer-aided engineering (CAE) with multi-detector row computed tomography (MDCT) was used. MD...

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Publicado en:Cleft Palate Craniofacial Journal Vol. 51; no. 6; pp. 665 - 669
Autores principales: Hayato Nagashima, Yoshiaki Sakamoto, Hisao Ogata, Junpei Miyamoto, Masaki Yazawa, Kazuo Kishi
Formato: diagnostic images research tables/charts Journal Article
Publicado: Sage Publications Inc. Nov2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2014
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      pub: Sage Publications Inc.
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        atl: Evaluation of Bone Volume After Secondary Bone Grafting in Unilateral Alveolar Cleft Using Computer-Aided Engineering.
      aug:
        au:
          Hayato Nagashima
          Yoshiaki Sakamoto
          Hisao Ogata
          Junpei Miyamoto
          Masaki Yazawa
          Kazuo Kishi
        affil: Resident, Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan
      sug:
        subj:
          Alveolar Process Surgery
          Bone Transplantation
          Cleft Lip
          Cleft Palate
          Human
          Treatment Outcomes
          Computers and Computerization
          Tomography Methods
          Child
          Academic Medical Centers
          Japan
          Wilcoxon Rank Sum Test
          Pearson's Correlation Coefficient
          Data Analysis Software
          Child: 6-12 years
      ab: The purpose of this study was to evaluate the initial defect and the outcome of bone grafts for unilateral alveolar cleft. To determine the absorption of the bone graft in patients with unilateral cleft, computer-aided engineering (CAE) with multi-detector row computed tomography (MDCT) was used. MDCT scans of 29 patients were taken immediately preoperatively and at 1 month and 6 months postoperatively. The patients underwent bone grafting between 8 and 14 years of age using iliac crest bone grafts. Three-dimensional models were created in each period, and the defect at the alveolar cleft and volume of the bone graft were determined in each patient using CAE. Cleft volume and success of alveolar bone grafting were significantly correlated (P < .01). Alveolar clefts with cleft palate required more bone volume than those without cleft palate (P < .01), but the resorption rate did not significantly differ between alveolar clefts with and without cleft palate (0.48 ± 0.14 and 0.49 ± 0.18, respectively; P=. 93). In conclusion, three-dimensional reconstruction of bone grafts using CAE based on MDCT provides a valuable objective assessment of graft volume.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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