Autogenous soft-tissue procedures and osseointegrated alloplastic reconstruction: their role in the treatment of complex craniofacial defects.
Between 1990 and 1994, twenty-seven patients with extraoral craniofacial defects were treated at the Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitation Unit in Edmonton. Fourteen patients required management by a combination of alloplastic and autogenous techniques to optimize their reconstructive result. Autogenous soft-tissue procedures were performed almost twice as often in patients whose deformity was the result of trauma. Autogenous soft-tissue procedures included soft-tissue expansion, static facial slings, free and pedicled vascularized bone grafts, eyebrow reconstruction, brow lifts, and scar revisions. These reconstructive procedures are illustrated in three cases.
Harris
L
L
Division of Plastic Surgery, Misercordia Hospital, Edmonton, Alberta, Canada.
Wilkes
G H
GH
Wolfaardt
J F
JF
D000328:Adult; D005145:Face / Q000601:surgery; D005151:Facial Injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D019736:Prostheses and Implants; D012886:Skull / Q000601:surgery; D017695:Soft Tissue Injuries / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods*; D015626:Tissue Expansion; D016896:Treatment Outcome