Outcome of Secondary Alveolar Cleft Reconstruction by Iliac Crest Bone Graft

Khushboo  Rashid; Sumaya  Batool; Imad  Ali; Tufiq  Umer; Muhammad Tariq  Khan; Yasar  Rashid

doi:10.51253/pafmj.v76iSUPPL-8.13546

Authors

Khushboo Rashid Department of Oral and Maxillofacial Surgery Saidu College of Dentistry Swat Pakistan
Sumaya Batool Department of Oral and Maxillofacial Surgery Saidu College of Dentistry Swat Pakistan
Imad Ali Department of Oral and Maxillofacial Surgery Saidu College of Dentistry Swat Pakistan
Tufiq Umer Department of Oral and Maxillofacial Surgery Saidu College of Dentistry Swat Pakistan
Muhammad Tariq Khan Department of Oral and Maxillofacial Surgery Saidu College of Dentistry Swat Pakistan
Yasar Rashid Department of Pediatric Surgery, Gambat Institute of Medical Sciences Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-8.13546

Keywords:

Cleft lip, Cleft palate, Congenital

Abstract

Objective: To determine the outcome of iliac crest graft use in secondary alveolar reconstruction.

Study Design: Prospective observational study

Place and Duration of Study: Oral and Maxillofacial surgery department of Saidu Teaching Hospital, Saidu Sharif, Pakistan and was carried out from September, 2024 to April, 2025.

Methodology: A total of 65 patients with cleft lip and/or palate who underwent iliac crest bone grafting were studied. Patients were categorized based on Bergland scores at four months post-surgery, with successful reconstruction defined as a score ≤3. Furthermore, to assess the cosmetic outcome, patients’ satisfaction with their postsurgical looks was assessed as “Satisfied”, “Neutral” and “Dissatisfied”.

Results: The majority of patients were male 55 (84.6%), with 53 (81.5%) presenting with cleft lip and palate and 56 (86.2%) unilateral cases. The mean Bergland score was 2.01 ± 0.92, with 62 (95%) achieving satisfactory graft outcomes. Complications were infrequent, with infection 3 (4.6%), resorption 5 (7.7%), and suture dehiscence 2 (3.1%). Patient satisfaction and post-surgical complications were significantly associated with graft success (p < 0.001).

Conclusion: Iliac crest bone grafting for secondary alveolar cleft reconstruction yields high success rates, supporting both functional integration and cosmetic satisfaction. Careful patient selection and postoperative monitoring are critical for optimizing outcomes.