Ceramic Bone Composite Graft for Reconstruction of the Bony Defects of the Maxilla
We were able to close maxillary defects by corrective surgery utilizing bony grafts on 58 consecutive patients. The patients had bone defects in the alveolar bone of the maxilla, bone deficiency in the paranasal region, and in the floor of the nose. All of our patients were born with complete cleft lips and palates, and had their soft-tissue defects corrected in early childhood. The composite ceramic bone graft used is a mixture of a slurry of autogenous corticocancellous cranial bone, pulverized porous non-absorbable hydroxyapatite (HA), thrombin, temporalis fascia slivers, and bacitracin (R) powder. The paste-like composite when packed in the defect, corrects the deformity, augments the deficiency in bone, and cements the space between the cortical bone chips used in conjunction with the paste to accomplish the last stages of this corrective surgery.
KeywordsBone Graft Bone Chip Composite Graft Healing Phase Open Cleft
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