Split-Thickness Bone Grafts in Complex Craniofacial Reconstructions
Autor: | James T. Goodrich, Craig D. Hall, Ravelo V. Argamaso |
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Rok vydání: | 1992 |
Předmět: |
Adult
Male Adolescent Skull Neoplasms Chondrosarcoma Astrocytoma Facial Bones Frontal Sinusitis Paranasal Sinuses medicine Humans Craniofacial Child Bone Transplantation Brain Neoplasms business.industry Skull General Medicine Anatomy Middle Aged Abscess medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Female Wounds Gunshot Surgery Neurology (clinical) business Craniotomy |
Zdroj: | Pediatric Neurosurgery. 18:195-201 |
ISSN: | 1423-0305 1016-2291 |
DOI: | 10.1159/000120662 |
Popis: | We have operated on 20 patients with various forms of complex skull defects due either to trauma, tumor, or craniofacial problems. These cases have required complex reconstruction of defects involving the calvarium and anterior skull base. We review here our techniques of using locally harvested split-thickness calvarium bone grafts in the reconstruction of complex face and anterior fossa defects, secondary to tumor, trauma and craniofacial problems. With these harvesting techniques sufficient bone becomes available for large reconstructions, with minimum morbidity to the patient. The aesthetic results are excellent allowing for good facial and forehead contouring with minimal risk to the patient. In the case of traumatic injuries the surgery can also be performed early with the risk of infection being markedly reduced. Long-term results with split-thickness calvarial grafts have shown less bone resorption when compared with rib grafts. |
Databáze: | OpenAIRE |
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