Alveolar Bone Graft Stabilization with Custom Maxillary Splints

Summary. For secondary alveolar bone grafting in cleft patients, the success of bone graft take is dependent upon creating an ideal environment for both bony and soft tissue healing. This is particularly challenging in patients with existing fistulas, wide clefts, and bilateral alveolar clefts, wher...

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Main Authors: Erinn N. Kim, MD, Emily M. Graham, BSN, Fatma B. Tuncer, MD, Duane K. Yamashiro, DDS, Faizi A. Siddiqi, MD, Barbu R. Gociman, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2020-11-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003214
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author Erinn N. Kim, MD
Emily M. Graham, BSN
Fatma B. Tuncer, MD
Duane K. Yamashiro, DDS
Faizi A. Siddiqi, MD
Barbu R. Gociman, MD, PhD
author_facet Erinn N. Kim, MD
Emily M. Graham, BSN
Fatma B. Tuncer, MD
Duane K. Yamashiro, DDS
Faizi A. Siddiqi, MD
Barbu R. Gociman, MD, PhD
author_sort Erinn N. Kim, MD
collection DOAJ
description Summary. For secondary alveolar bone grafting in cleft patients, the success of bone graft take is dependent upon creating an ideal environment for both bony and soft tissue healing. This is particularly challenging in patients with existing fistulas, wide clefts, and bilateral alveolar clefts, where large soft tissue mobilization is required to get a tensionless repair, and micro-motion around the bone graft is significantly higher. Herein we describe our method for manufacture and placement of a custom postoperative maxillary splint following secondary alveolar bone grafting. Our splint encompasses the palate and alveolus to stabilize the maxillary arch and protect the incision lines during healing. We find our splint to be a useful adjunct to facilitate postoperative healing following secondary alveolar bone grafting.
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spelling doaj.art-d8615ff9a86e40cd8eb9eb4da825d1042022-12-21T20:28:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-11-01811e321410.1097/GOX.0000000000003214202011000-00026Alveolar Bone Graft Stabilization with Custom Maxillary SplintsErinn N. Kim, MD0Emily M. Graham, BSN1Fatma B. Tuncer, MD2Duane K. Yamashiro, DDS3Faizi A. Siddiqi, MD4Barbu R. Gociman, MD, PhD5From the Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.From the Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.From the Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.From the Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.From the Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.From the Division of Plastic Surgery, University of Utah, Salt Lake City, Utah.Summary. For secondary alveolar bone grafting in cleft patients, the success of bone graft take is dependent upon creating an ideal environment for both bony and soft tissue healing. This is particularly challenging in patients with existing fistulas, wide clefts, and bilateral alveolar clefts, where large soft tissue mobilization is required to get a tensionless repair, and micro-motion around the bone graft is significantly higher. Herein we describe our method for manufacture and placement of a custom postoperative maxillary splint following secondary alveolar bone grafting. Our splint encompasses the palate and alveolus to stabilize the maxillary arch and protect the incision lines during healing. We find our splint to be a useful adjunct to facilitate postoperative healing following secondary alveolar bone grafting.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003214
spellingShingle Erinn N. Kim, MD
Emily M. Graham, BSN
Fatma B. Tuncer, MD
Duane K. Yamashiro, DDS
Faizi A. Siddiqi, MD
Barbu R. Gociman, MD, PhD
Alveolar Bone Graft Stabilization with Custom Maxillary Splints
Plastic and Reconstructive Surgery, Global Open
title Alveolar Bone Graft Stabilization with Custom Maxillary Splints
title_full Alveolar Bone Graft Stabilization with Custom Maxillary Splints
title_fullStr Alveolar Bone Graft Stabilization with Custom Maxillary Splints
title_full_unstemmed Alveolar Bone Graft Stabilization with Custom Maxillary Splints
title_short Alveolar Bone Graft Stabilization with Custom Maxillary Splints
title_sort alveolar bone graft stabilization with custom maxillary splints
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003214
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