Long-term results of vascularized cranial bone grafts.
The clinical and radiographic results of 9 consecutive vascularized full-thickness cranial bone grafts to the midface are examined for a period of 3 to 8 years. Satisfactory contour was maintained throughout the follow-up in 5 patients with severe congenital facial deformities. Axial computerized tomography revealed complete survival of a trilaminar bone graft in each case. The complications were limited to a small area of alopecia in the midportion of one temporal scar. This relatively tedious harvest of bone is indicated for severe congenital malar and maxillary midface hypoplasia beginning at 4 years of age.
Division of Plastic Surgery, University of Pittsburgh, Pennsylvania 15213.
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DJ
Hurwitz
D000293:Adolescent; D016025:Bone Transplantation / Q000379:methods*; D002675:Child, Preschool; D005147:Facial Bones / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D008297:Male; D008342:Mandibulofacial Dysostosis / Q000601:surgery*; D010294:Parietal Bone / Q000098:blood supply / Q000637:transplantation; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000379:methods* / Q000502:physiology; D016896:Treatment Outcome