The use of vascularized cranial bone in reconstruction of the maxilla and mandible

The use of vascularized cranial bone in reconstruction of the maxilla and mandible Defects of the maxilla and mandible can cause significant functional and aesthetic problems for patients. Vascularized calvarium was used to reconstruct six mandible and four maxillary defects between 1991 and 1998. The ages of patients ranged from 15 to 68 years.Full thickness calvarial bone was preferred for the repair of segmental mandibular defects but split thickness calvarial bone onlay was used to reconstruct contour deformities. When full thickness calvarial bone was used, the donor site defect was covered with split thickness cranial bone. In small defects, a bipedicled galea pericranial flap was used for reconstruction. The bone was supplied by the superficial temporal vessels in all cases. A tunnel in the subcutaneous plane was used for the flap transfer to avoid facial nerve branches. Immediate expansion was performed during the preparation of the tunnel to prevent pedicle compression. Bone vascularization was checked with bone scan and serial X-rays and clinical examinations were also performed in the postoperative period. Flap necrosis was observed in one case, satisfactory functional and aesthetic results were achieved in all other patients. Vascularized cranial bone has not only the same structural features as facial bones but also a reliable vascular supply. The superficial temporal fascia and hairy skin may be included in the cranial bone flap to treat complex defects. The donor site scar is well hidden in the scalp. There is minimal donor site discomfort. In conclusion, vascularized cranial bone is a good method of treatment in selected cases. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

The use of vascularized cranial bone in reconstruction of the maxilla and mandible

Loading next page...
 
/lp/springer_journal/the-use-of-vascularized-cranial-bone-in-reconstruction-of-the-maxilla-Q2B7wUs30P
Publisher
Springer-Verlag
Copyright
Copyright © 1999 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050197
Publisher site
See Article on Publisher Site

Abstract

Defects of the maxilla and mandible can cause significant functional and aesthetic problems for patients. Vascularized calvarium was used to reconstruct six mandible and four maxillary defects between 1991 and 1998. The ages of patients ranged from 15 to 68 years.Full thickness calvarial bone was preferred for the repair of segmental mandibular defects but split thickness calvarial bone onlay was used to reconstruct contour deformities. When full thickness calvarial bone was used, the donor site defect was covered with split thickness cranial bone. In small defects, a bipedicled galea pericranial flap was used for reconstruction. The bone was supplied by the superficial temporal vessels in all cases. A tunnel in the subcutaneous plane was used for the flap transfer to avoid facial nerve branches. Immediate expansion was performed during the preparation of the tunnel to prevent pedicle compression. Bone vascularization was checked with bone scan and serial X-rays and clinical examinations were also performed in the postoperative period. Flap necrosis was observed in one case, satisfactory functional and aesthetic results were achieved in all other patients. Vascularized cranial bone has not only the same structural features as facial bones but also a reliable vascular supply. The superficial temporal fascia and hairy skin may be included in the cranial bone flap to treat complex defects. The donor site scar is well hidden in the scalp. There is minimal donor site discomfort. In conclusion, vascularized cranial bone is a good method of treatment in selected cases.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Aug 16, 1999

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve Freelancer

DeepDyve Pro

Price
FREE
$49/month

$360/year
Save searches from
Google Scholar,
PubMed
Create lists to
organize your research
Export lists, citations
Read DeepDyve articles
Abstract access only
Unlimited access to over
18 million full-text articles
Print
20 pages/month
PDF Discount
20% off