Vascularized skull bone grafts in craniofacial surgery.
Vascularized skull bone grafts based on a pedicle of temporalis muscle have been used in 30 zygomatic arch and malar reconstructions, 1 mandible reconstruction, and 1 palate reconstruction. The surgical technique, complications, and postoperative results are reviewed. Technetium bone scans obtained within one week of operation confirm blood supply to the transferred bone. After a mean follow-up of 13 months, there is no evidence of bone graft resorption. We have used a team approach and careful surgical technique, and no serious complications have been encountered.
D000293:Adolescent; D000328:Adult; D001862:Bone Resorption; D002648:Child; D002675:Child, Preschool; D003394:Craniofacial Dysostosis / Q000601:surgery*; D005260:Female; D006085:Graft Survival; D006801:Humans; D007223:Infant; D008297:Male; D010521:Periosteum / Q000098:blood supply / Q000637:transplantation; D012886:Skull / Q000098:blood supply / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods*; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000098:blood supply / Q000637:transplantation