Tibia Bone Graft in the Alveolar Cleft: Case Report

脛骨骨移植在齒槽裂病人的應用：病例報告

陳俊明(Chun-Ming Chen) ； 陳遠謙(Yuan-Chien Yuan) ； 陳中和(Chung-Ho Chen) ； 謝天渝(Tien-Yu Shieh)

《Taiwan Journal of Oral Medicine & Health Sciences》 20卷1期 (2004/04) Pp. 23-30

https://doi.org/10.7059/TJOMHS.200404.0023

摘要

唇顎裂是顔面部常見的先天性發育異常的疾病，這類的病人也常合併有齒槽裂的情形，使得齒槽骨形成不連續的情況，這樣會影響到上顎骨的發育、恒牙的萌發、以及造成進食與語言的困難。因此，利用自體骨移植來重建上顎骨的連貫性，是相當重要的。本篇提出一位雙側性唇顎裂的病人，在唇裂和顎裂的部份均接受過修復手術。但是，在雙側的齒槽裂均尚未做自體骨移植，此次我們採用脛骨做爲自體骨移植的來源，結果發現脛骨骨移植手術，是一種手術過程簡單，而且手術後的併發症及後遺症均很小。

關鍵字

齒槽裂 ； 脛骨骨移植

並列摘要

The congenital defects of cleft lip and palate are the most common facial deformity. This deformity usually was combined with alveolar cleft. The lack of alveolar continuity, it can affect maxillary growth, eruption of permanent teeth, and results in feeding problems or speech disorders. Autogenous bone grafts have been used to restore alveolar continuity, which is an extremely important to reconstruct the integrity of maxilla. Here we report a case of bilateral cleft lip and palate. She had received surgical repair for cleft lip and palate at her childhood. But she had not sought autogenous bone grafting for alveolar cleft. We harvested the proximal tibia bone grafts to repair the alveolar cleft. The procedure for proximal tibia bone graft is easy, has less operative risk, and result in a lower postoperative morbidity rate.

並列關鍵字

Alveolar cleft ； Tibia bone graft