Human Bone Morphogenetic Protein-2 Use for Maxillary Reconstruction in Cleft Lip and Palate Patients
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | CANAN JR., Lady Wilson | |
dc.contributor.author | FREITAS, Renato da Silva | |
dc.contributor.author | ALONSO, Nivaldo | |
dc.contributor.author | TANIKAWA, Daniela Yukie Sakai | |
dc.contributor.author | ROCHA, Diogenes Laercio | |
dc.contributor.author | COELHO, Julio Cezar Uili | |
dc.date.accessioned | 2013-07-30T14:39:07Z | |
dc.date.available | 2013-07-30T14:39:07Z | |
dc.date.issued | 2012 | |
dc.description.abstract | Background: The conventional methods of maxillary alveolar reconstruction in patient with cleft are the periosteoplasty and autologous bone grafting. As an important alternative of bone substitution, there is the recombinant human bone morphogenetic protein-2 (rhBMP-2). This study compares the rhBMP-2 with periosteoplasty and autologous bone grafting. Methods: Patients with cleft and alveolar defect were divided into 3 groups of 6 patients who underwent to autologous iliac crest bone grafting, resorbable collagen sponge with rhBMP2, and periosteoplasty, respectively. The analysis was performed through computed tomographic scan preoperatively and at months 3, 6, and 12 postoperatively. The variables analyzed were the alveolar defect volume, formed bone volume, bone formation rate, maxillary height repair rate, and the formed bone density mean. Results: The formed bone volume was similar comparing the bone graft and BMP groups at 1-year postoperative analysis (P = 0.58). Both of them had the formed bone volume significantly larger than the periosteoplasty group at 3 and 6 months postoperatively. In this last group, the 1-year follow-up was canceled because the bone formation was insufficient. The bone formation rate, the maxillary height repair rate, and the mean of density of the formed bone were similar in the bone graft and BMP groups at 1-year follow-up with P values of 0.93, 0.90, and 0.81, respectively. Conclusions: The amount of formed bone in the periosteoplasty group was insufficient. There was no difference among the bone graft and rhBMP-2 therapy considering the parameters analyzed. | |
dc.description.index | MEDLINE | |
dc.identifier.citation | JOURNAL OF CRANIOFACIAL SURGERY, v.23, n.6, p.1627-1633, 2012 | |
dc.identifier.doi | 10.1097/SCS.0b013e31825c75ba | |
dc.identifier.issn | 1049-2275 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/354 | |
dc.language.iso | eng | |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | |
dc.relation.ispartof | Journal of Craniofacial Surgery | |
dc.rights | restrictedAccess | |
dc.rights.holder | Copyright LIPPINCOTT WILLIAMS & WILKINS | |
dc.subject | Bone morphogenetic protein | |
dc.subject | cleft lip and palate | |
dc.subject | alveolar bone grafting | |
dc.subject.other | alveolar clefts | |
dc.subject.other | unilateral clefts | |
dc.subject.other | radiographic outcomes | |
dc.subject.other | gingivoperiosteoplasty | |
dc.subject.other | growth | |
dc.subject.other | grafts | |
dc.subject.other | periosteoplasty | |
dc.subject.other | defects | |
dc.subject.other | success | |
dc.subject.other | repair | |
dc.subject.wos | Surgery | |
dc.title | Human Bone Morphogenetic Protein-2 Use for Maxillary Reconstruction in Cleft Lip and Palate Patients | |
dc.type | article | |
dc.type.category | original article | |
dc.type.version | publishedVersion | |
dspace.entity.type | Publication | |
hcfmusp.author.external | CANAN JR., Lady Wilson:Assistance Ctr Cleft Lip & Palate CAIF, BR-81050000 Curitiba, Parana, Brazil | |
hcfmusp.author.external | FREITAS, Renato da Silva:Assistance Ctr Cleft Lip & Palate CAIF, BR-81050000 Curitiba, Parana, Brazil | |
hcfmusp.author.external | COELHO, Julio Cezar Uili:Univ Fed Parana, BR-80060000 Curitiba, Parana, Brazil | |
hcfmusp.citation.scopus | 57 | |
hcfmusp.contributor.author-fmusphc | NIVALDO ALONSO | |
hcfmusp.contributor.author-fmusphc | DANIELA YUKIE SAKAI TANIKAWA | |
hcfmusp.contributor.author-fmusphc | DIOGENES LAERCIO ROCHA | |
hcfmusp.description.beginpage | 1627 | |
hcfmusp.description.endpage | 1633 | |
hcfmusp.description.issue | 6 | |
hcfmusp.description.volume | 23 | |
hcfmusp.lim.ref | 2012 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 23147291 | |
hcfmusp.origem.scopus | 2-s2.0-84873316613 | |
hcfmusp.origem.wos | WOS:000311889300064 | |
hcfmusp.publisher.city | PHILADELPHIA | |
hcfmusp.publisher.country | USA | |
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hcfmusp.scopus.lastupdate | 2024-05-10 | |
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relation.isAuthorOfPublication.latestForDiscovery | 15477aea-4408-4b6d-8c22-510df29a2dce |
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