Alveolar cleft reconstruction with vomerine bone: two surgical procedures in one step: a case series

Aim: Iliac crest (IC) is the most common source of bone for alveolar cleft repair, as it allows harvesting a large amount cancellous with high rate favorable outcomes. Its drawback donor-site morbidity. We propose new technique grafting using vomerine (VB), which, through grafting, reconstructs alveolus VB and simultaneously corrects nasal septum deviation. Method: performed 18 reconstructions in patients small bony defect septal deviation, which would benefit from septoplasty. A matched control group IC was selected. Panoramic X-rays were used vertical assessment ossification Bergland scale CT scans evaluation thickness grafted area groups compared an independent samples T-test. paired T-test angular measurements deviation pre- post- grafting. Results: All grafts healed uneventfully, no complications at donor site respiratory function improved. There statistically significant difference height between IC, occlusal middle third higher IC. Septal reduced significantly. Conclusion: Alveolar graft seems to be viable alternative who present mild addition allowing combined procedures while reducing morbidity site.