Cleft lip and palate represents the most common form of craniofacial malformation (1 in 700 newborns in Europe). Cleft lip and palate is usually closed within the first 2 years after birth. The alveolar cleft is left open so as not to impair on maxillary growth in the way that primary osteoplasty did (Robertson and Jolleys, 1968; Rehrmann et al., 1970). Secondary alveolar bone grafting has become well established since the original work of Boyne and Sands (1972). Cancellous iliac bone is most widely favored, but tibial shaft, mandible, rib, and calvaria have also been used.
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