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Cleft Maxillary Reconstruction

Abstract

Maxillary cleft bone grafting has been predictably performed with a demonstrable outcome benefit to the patient for decades [1–3]. Upon bone grafting’s resurgence in the 1970s, the graft source that was utilized was the anterior iliac crest. Since that time, it has largely been held as the gold standard, despite numerous comparative studies between it, and other anatomic sites and materials. Now, however, we are in an era where the interest in tissue engineering has peaked and most new efforts to improve grafting success involve alloplasts rather than new or different anatomic sites to obtain bone. That said, few alloplastic or tissue engineering solutions have achieved the outcomes of autogenous bone, specifically as the outcomes pertain to the grafted or recipient site. Where alternate, alloplastic, or allogenic solutions have excelled, is the dramatic decrease in or elimination of donor site morbidity and operative time. Ultimately, the decision of where to obtain your graft is patient and situation dependent, with each case presenting unique nuances and justification for a given technique. It is best to have a good understanding of the options and the evidence in order to make the best decision for and along with your patient.

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Authors and Affiliations

  1. Pediatric Maxillofacial Surgery, University of Maryland Medical Center, Baltimore, MD, USA

    John F. Caccamese

  2. Department of Oral-Maxillofacial Surgery, University of Maryland, Baltimore, MD, USA

    John F. Caccamese

  3. Pediatrics, Otorhinolaryngology, and Bioengineering, University of Maryland, Baltimore, MD, USA

    John F. Caccamese

  4. Randolph B. Capone Cleft Program - Greater Baltimore Cleft Team, Towson, MD, USA

    John F. Caccamese

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Correspondence to John F. Caccamese .

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Editors and Affiliations

  1. Craniomaxillofacial Surgery, Florida Craniofacial Institute, Tampa, FL, USA

    Pat Ricalde

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Caccamese, J.F. (2023). Donor Site Options. In: Ricalde, P. (eds) Cleft Maxillary Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24636-4_5

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  • DOI: https://doi.org/10.1007/978-3-031-24636-4_5

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