Articles Vol. 66 No. 2 04/03/2025

26. OUTCOMES OF SECONDARY GINGIVOPERIOSTEOPLASTY FOR THE TREATMENT OF UNILATERAL ALVEOLAR CLEFTS

Tran Thi Minh Thu1,2, Nguyen Duc Khai3,4, Lam Hoai Phuong5,6, Ho Nguyen Thanh Chon1,2,3,4, Dang Hoang Thom7,8,9,10, Duong Huy Luong8,10,11,12
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 Trường Đại học Y Dược Thành phố Hồ Chí Minh
3 University Medical Center, Ho Chi Minh City
4 Bệnh viện Đại học Y Dược Thành phố Hồ Chí Minh
5 My Thien Hospital
6 Bệnh viện chuyên khoa Răng Hàm Mặt Mỹ Thiện
7 National Children’s Hospital
8 Hanoi Medical University
9 Bệnh viện nhi Trung Ương
10 Trường Đại học Y Hà Nội
11 Ministry of Health
12 Bộ Y tế
Corresponding author: thutran1597py@gmail.com
DOI: 10.52163/yhc.v66i2.2087
12 Views
13 Downloads
Keywords
alveolar cleft gingivoperiosteoplasty CBCT bone bridge
Abstract

Objective: The study aimed to describe the clinical and CBCT outcomes of secondary gingivoperiosteoplasty (GPP) for the treatment of unilateral alveolar clefts.

 

Subject and method: Descriptive and prospective study collected data from 28 patients with unilateral alveolar clefts who were clinically monitored before and after the surgery 1 day, 1 month, 6 months and CBCT scans before and after the surgery 6 months.

 

Results: The mean age was 5.7 ± 0.9 years, of which 18 (64.3%) patients were male, 20 (71.4%) patients had left-sided alveolar cleft, 18 (64.3%) patients had alveolar cleft involving the complete cleft palate and 16 (57.1%) patients had a tooth in the cleft. The median time of surgery was 41.5 minutes and the interquartile range was 37 minutes - 53 minutes. After 6 months of the surgery, 100% of patients scored 5 or higher corresponding to the categories of fair, good and very good in terms of clinical aspects, with a 225.9 ± 36.0 mm3 reduction in alveolar cleft volume and 32.1% of patients had a bone bridge across the cleft.

 

Conclusion: GPP for the treatment of unilateral alveolar cleft patients aged 5-7 years old initially showed good results clinically and on CBCT.

References
[1]
Võ Ngọc Cường, Phan Minh Hoàng, Đỗ Tiến Hải và cộng sự. Đặc điểm lâm sàng bệnh nhân khe hở xương ổ răng điều trị ghép xương có sử dụng fibrin. Tạp chí Y học Việt Nam. 08/25 2023;529(1). Google Scholar
[2]
Chu YY, Chang FC, Lu TC, Lee CH, Chen PK. Surgical Outcomes of Secondary Alveolar Bone Grafting and Extensive Gingivoperiosteoplasty Performed at Mixed Dentition Stage in Unilateral Complete Cleft Lip and Palate. J Clin Med. Feb 20 2020;9(2). Google Scholar
[3]
Meazzini MC, Corno M, Novelli G, et al. Long-Term Computed Tomographic Evaluation of Alveolar Bone Formation in Patients with Unilateral Cleft Lip and Palate after Early Secondary Gingivoalveoloplasty. Plastic and Reconstructive Surgery. 2016;137(2):365e-374e. Google Scholar
[4]
Peamkaroonrath C, Godfrey K, Chatrchaiwiwatana S. New clinical method for alveolar bone graft evaluation in cleft patients: a pilot study. The Cleft palate-craniofacial journal. 2011;48(3):286-292. Google Scholar
[5]
Stasiak M, Wojtaszek-Slominska A, Racka-Pilszak B. A novel method for alveolar bone grafting assessment in cleft lip and palate patients: cone-beam computed tomography evaluation. Clin Oral Investig. Apr 2021;25(4):1967-1975. doi:10.1007/s00784-020-03505-z. Google Scholar
[6]
Skoog T. The use of periosteum and Surgicel for bone restoration in congenital clefts of the maxilla. A clinical report and experimental investigation. Scand J Plast Reconstr Surg. 1967;1(2):113-30. Google Scholar
[7]
Wang YC, Liao YF, Chen PK. Comparative Outcomes of Primary Gingivoperiosteoplasty and Secondary Alveolar Bone Grafting in Patients with Unilateral Cleft Lip and Palate. Plast Reconstr Surg. Jan 2016;137(1):218-227. Google Scholar
[8]
Wang YC, Lu TC, Chen YA, Chen PK, Liao YF. Outcomes of alveolar cleft repair in complete cleft lip and palate after tertiary gingivoperiosteoplasty and segmental Le Fort I osteotomy. Clin Oral Investig. Aug 2023;27(8):4643-4652. Google Scholar