Volume 13, Issue 4 (10-2025)                   J Surg Trauma 2025, 13(4): 154-163 | Back to browse issues page

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Shahraki M, Khanlari S, Shafie Nikabadi F, Akhavanfard F. Early Secondary Alveolar Bone Grafting and Lip Revision in Mixed Dentition: A Case Report. J Surg Trauma 2025; 13 (4) :154-163
URL: http://jsurgery.bums.ac.ir/article-1-512-en.html
Postgraduate student of pediatric dentistry, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract:   (52 Views)
Cleft defects are prevalent oromaxillofacial deformities, and surgical correction is essential for restoring oral function, improving speech, and enhancing facial aesthetics, thereby alleviating the social and communicative challenges experienced by affected children. A 7-year-old boy with a left cleft lip and palate received secondary alveolar bone grafting (SABG) using autologous iliac crest bone, plus a secondary lip revision after brief preoperative maxillary expansion. During follow-up, the oro-nasal gap was closed, speech was less hypernasal, and facial balance improved. Combining surgical, orthodontic, and restorative care helped address functional deficits and social concerns, which are outcomes after early secondary grafting in mixed dentition. However, close multidisciplinary coordination and setting realistic expectations remain crucial.
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Type of Study: Case Report | Subject: Pediatric
Received: 2025/09/22 | Accepted: 2025/10/5 | ePublished ahead of print: 2025/10/13 | Published: 2025/10/14

References
1. Rahimov F, Nieminen P, Kumari P, Juuri E, Nikopensius T, Paraiso K, et al. High incidence and geographic distribution of cleft palate in Finland are associated with the IRF6 gene. Nat Commun. 2024;15(1):9568. [DOI:10.1038/s41467-024-53634-2]
2. Lewis CW, Jacob LS, Lehmann CU. The Primary Care Pediatrician and the Care of Children With Cleft Lip and/or Cleft Palate. Pediatrics. 2017;139(5). [DOI:10.1542/peds.2017-0628]
3. Joos U, Markus AF, Schuon R. Functional cleft palate surgery. J Oral Biol Craniofac Res. 2023;13(2):290-8. [DOI:10.1016/j.jobcr.2023.02.003]
4. Seifeldin SA. Is alveolar cleft reconstruction still controversial? (Review of literature). Saudi Dent J. 2016;28(1):3-11. [DOI:10.1016/j.sdentj.2015.01.006]
5. Mertens C, Decker C, Seeberger R, Hoffmann J, Sander A, Freier K. Early bone resorption after vertical bone augmentation--a comparison of calvarial and iliac grafts. Clin Oral Implants Res. 2013;24(7):820-5. [DOI:10.1111/j.1600-0501.2012.02463.x]
6. Naujokat H, Loger K, Gülses A, Flörke C, Acil Y, Wiltfang J. Effect of enriched bone-marrow aspirates on the dimensional stability of cortico-cancellous iliac bone grafts in alveolar ridge augmentation. International journal of implant dentistry. 2022;8(1):34. [DOI:10.1186/s40729-022-00435-1]
7. Prathanee B, Buakanok N, Pumnum T, Thanawirattananit P. Hearing, speech, and language outcomes in school-aged children after cleft palate repair. Arch Craniofac Surg. 2024;25(5):230-9. [DOI:10.7181/acfs.2024.00395]
8. Crowley CJ. Improving Speech Outcomes in Low- and Middle-Income Countries for Patients Born with Cleft Palate. Plast Reconstr Surg. 2025;156(4s-2):14s-22s. [DOI:10.1097/PRS.0000000000012374]
9. Inchingolo AM, Dipalma G, Bassi P, Lagioia R, Cavino M, Colonna V, et al. Evaluation of Surgical Protocols for Speech Improvement in Children with Cleft Palate: A Systematic Review and Case Series. Bioengineering (Basel). 2025;12(8). [DOI:10.3390/bioengineering12080877]
10. Lu X, Roohani I, Manasyan A, Stanton EW, Youn S, Hammoudeh JA, et al. Comparing Three-dimensional Radiologic Outcomes Between Early Versus Late Secondary Alveolar Bone Grafting. J Craniofac Surg. 2025;36(1):78-83. [DOI:10.1097/SCS.0000000000010676]
11. Nadjmi N, Vaes L, Van de Casteele E. A novel technique for nasal alar reconstruction. Plastic and Reconstructive Surgery-Global Open. 2022;10(4):e4284. [DOI:10.1097/GOX.0000000000004284]
12. Mundra LS, Lowe KM, Khechoyan DY. Alveolar Bone Graft Timing in Patients With Cleft Lip & Palate. J Craniofac Surg. 2022;33(1):206-10. [DOI:10.1097/SCS.0000000000007890]
13. Pendem S, Selvarasu K, Krishnan M, Kumar SP, Bhuvan Chandra R. Anatomical Basis for Preservation of Cartilaginous Apophysis in Pediatric Patients Undergoing Iliac Crest Bone Graft Harvest: A Cohort Study. Cureus. 2024;16(4):e58020. [DOI:10.7759/cureus.58020]
14. Todd AR, Fitzpatrick S, Cawthorn TR, Fraulin FOG, Robertson Harrop A. Iliac Crest Bone Graft Harvest for Alveolar Cleft Repair: A Systematic Review Comparing Minimally Invasive Trephine and Conventional Open Techniques. Plast Surg (Oakv). 2024;32(1):78-85. [DOI:10.1177/22925503221088840]
15. Rothermel A, Loloi J, Long RE, Jr., Samson T. Patient-Centered Satisfaction After Secondary Correction of the Cleft Lip and Nasal Defect. Cleft Palate Craniofac J. 2020;57(7):895-9. [DOI:10.1177/1055665619901183]
16. Aldosari M, Shah J, Ko J, Oberoi S. Alveolar Bone Quality in Individuals With Cleft Lip and Palate With Missing Lateral Incisors: Orthodontic Space Closure Versus Space Opening. Cleft Palate Craniofac J. 2025:10556656241312499. [DOI:10.1177/10556656241312499]

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