치조열 골이식술 시 연조직 피판의 지지를 위한 Scarpa 근막의 적용: 2예 보고

Alveolar Cleft Bone Graft Using Scarpa Fascia for Supporting Soft Tissue Flap: Two Case Reports

For normal function and esthetics of dentoalveolar segments in cleft patients, alveolar bone grafting is usually performed prior to the eruption of permanent maxillary canine. However, alveolar cleft bone graft is still a challenging procedure, which requires advanced surgical skills and a three-dimensional understanding of the pathological veolar anatomy. In particular, achieving a water-tight closure of the mucoperiosteal flaps is essential to prevent wound dehiscence and subsequent bone graft loss. This report presents a technique for alveolar cleft bone grafting that utilizes the Scarpa fascia to reinforce and to seal the mucoperiosteal pocket within the cleft alveolus.