The Fate of Preserved Autogenous Bone Graft
| Autor: | Richard Raszewski, Louis DeLuca, Bahman Guyuron, Nancy Tresser |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
Time Factors medicine.medical_treatment Dentistry Transplantation Autologous Curettage Parietal Bone Medicine Animals Frontal region Craniofacial Craniotomy Analysis of Variance Bone Transplantation Inlay business.industry Graft Survival Skull Autogenous bone graft Surgery Transplantation surgical procedures operative medicine.anatomical_structure Occipital defect Occipital Bone Rabbits Tissue Preservation business |
| Zdroj: | Plastic and Reconstructive Surgery. 99:1324-1328 |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/00006534-199705000-00019 |
| Popis: | Certain clinical conditions exist in which a section of cranial bone is removed but not immediately replaced at the initial procedure. Preservation of this bone can provide a valuable autogenous donor source for a future reconstructive procedure. The purpose of our study was to compare the volume retention of fresh autogenous bone with that of preserved autogenous bone as inlay and onlay cranial grafts. Two bone grafts were harvested from the skull of 15 adult New Zealand White rabbits. The graft volumes were calculated, and the graft were preserved in a normal saline-antibiotic solution at -20 degrees C. Three months later, during the second procedure, a fresh graft was harvested and then placed in the preexisting occipital defect as an inlay graft. Also at this time, the preserved grafts were placed, one as an inlay graft in the fresh occipital defect and the other as an onlay graft in the frontal region. The animals were sacrificed 3 months later, and the percentage of graft volume retention was determined. The fresh inlay grafts had a mean volume retention of 85.1 percent, while the preserved inlay nad onlay grafts had 61.8 and 75.9 percent mean volume retention, respectively. It is concluded that while fresh cranial autograft remains the "gold standard" for craniofacial reconstruction, preserved autogenous cranial bone is a viable alternative for inlay and onlay grafting of the craniofacial region. |
| Databáze: | OpenAIRE |
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