• Alveolar cleft closure using a triangular flap with an M-shaped incision

    One year ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    Alveolar bone grafting has become an accepted means of uniting and stabilizing maxillary segments prior to definitive orthodontic and restorative dental treatment for patients with cleft lip.1 However, the timing of surgery, donor site, and whether the use of allogenic materials improves the outcome are still controversial. Adequate soft tissue coverage of the grafted bone in all three dimensions is imperative for successful secondary ABG.2 To create gingivoperiosteal flaps for coverage of the alveolar cleft, the incision is placed near the teeth, adjacent to the cleft, and fans out over...
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