顎裂部への骨移植におけるフィブリン組織接着剤 (Tisseel) の使用経験

概要

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The par ticlated cancellous bones from ilium are commonly used for the reconstruction of alveolar cleft. Recently, we attempted to make use of fibrin tissue adhesive system (Tisseel) combined with bone grafting in 20 cases, and the results obtained were compared with the previous 11 cases without this adhesive system.<BR>In the operation, this adhesive system revealed several technical merits; local hemostatic effect, positioning of particulated cancellous bones, formation of alveolar ridge and adhesion of mucoperiosteal flap to the grafted bones. The grafted bones in 20 cases with this system survived completely except for 1 case, whereas in the previous 11 cases, 3 cases were unsatisfactory. Neither complications nor side effects were observed.
社団法人日本口腔外科学会の論文