Results free bone grafting of bone defects in many cases determined by the state of perceiving a soft tissue bed. The preservation of the periosteum in the area of the defect, a full blood supply to the surrounding tissues improve conditions for subsequent engraftment and reconstruction of bone allografts.
To create such conditions when using bone grafting in cleft upper jaw, often fails, resulting in unsatisfactory results of allianceatlantic. With the aim of improving the effectiveness of the results free of allianceatlantic in recent years developed a variety of methods combined alloautoplastic.
Transplantation with preserved bone cancellous autologous bone or bone marrow increases the number of active osteoblasts, providing protein osteosynthesis and a complete replacement of the allograft bone. It is worth emphasizing that in the dental chair for children ksmi was experimentally justified method of combination of bone-periosteal grafting, where autocomponents are grafts of the periosteum of the long bones.
Freely transplanted periosteum causing active bone formation, contributes to their further recovery and rebuilding.
The clinic is a combination of bone-periosteal plastic used in 103 children 71 patients underwent primary rhinocheiloplasty, 32nd — secondary early plastic alveolar bone. Thus, primary bone grafting was performed to patients ranging in age from six months to two years for treatment of unilateral (62 patients) and bilateral (9 patients) cleft upper lip and alveolar bone.
The most important stage of these transactions is the procedure of formation of a soft tissue bed for the bone graft. In one and bilateral clefts it is the same. Used fabric upper lip, obtained thanks to the freshening of the edges of the cleft.
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