Experience with thirty-seven patients demonstrating the versatility of the split calvarial graft in facial reconstruction is presented. A total of sixty grafts have been used with no evidence of significant clinical reabsorption, infection, or extrusion; advantages and limitations are discussed. We conclude that the split calvarium represents a readily available and reliable source of membranous bone for grafting maxillofacial defects with minimal limitations and low morbidity.
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References
1.
SmithIDAbramsonM. Membranous versus endochondral bone autografts. Arch Otolaryngol1975;99:203–5.
2.
ZinsJEWhitakerLA. Membranous versus endochondral bone: Implications for craniofacial reconstruction. Plast Reconstr Surg1983;72:778–84.
3.
TessierP. Autogenous bone grafts taken from the calvarium for facial and cranial applications. Clin Plast Surg1982;9:531–8.
4.
ThompsonNCassonJA. Experimental onlay bone grafts to the jaws: A preliminary study on dogs. Plast Reconstr Surg1970;46:341–9.
5.
JacksonITPellettCCSmithJM. The skull as a bone graft donor site. Ann Plast Surg1983;11:527–32.
6.
RuguiP Santoni. Repair of skull defects by outer table osteoperiosteal free grafts. Plast Reconstr Surg1969;43:157–61.
7.
PsillakisJMNocchiVLBZaniniSA. Repair of large defect of frontal bone with free graft of outer table of parietal bone. Plast Reconstr Surg1979;64:827–30.
8.
KusiakJFZinsJEWhitakerLA. The early revascularization of membranous bone. Plast Reconstr Surg1985; 74: 4, 510–4.
9.
PenslerJMcCarthyJG. The calvarial donor site: An anatomical study in cadavers. Plast Reconstr Surg1985;75:648–51.
10.
GrassJSMacKinnonSEKesselEECooperPW. The role of primary bone grafting in complex craniomaxillofacial trauma. Plast Reconstr Surg1985;75:17–24.
