[Reconstruction of the forehead region with tabula externa of the skull].
BACKGROUND
Calvarial bone graft is often used in reconstructive cranio-facial surgery. As most common three different forms can be distinguished: outer-table bone, full thickness grafts and composite flaps (bone with a periostal or muscular pedicle).


METHODS
An extensive fibrous dysplasia of the frontal region was removed in a 26 years old patient. Reconstruction was carried out with alloplastic material achieving a good esthetic result. Recurrent seroma and occurrence of a fistula demanded removal of the alloplastic material and en-bloc reconstruction of the forehead region was accomplished with a parietal outer-table graft. Within a follow-up time of one year a good esthetic and stable reconstruction has been achieved.


CONCLUSIONS
Split-thickness calvarial bone is still a versatile graft in reconstruction of the forehead region. Although a low rate of side effects in harvesting calvarial bone grafts are in general expected, one has to be aware of dural lesions occuring in the donor site during craniotomy.
Schick
B
B
Klinik für HNO-Krankheiten, Kopf-, Hals- und Plastische Gesichtschirurgie, Kommunikationsstörungen, Städtisches Klinikum Fulda.
Hendus
J
J
el Tahan
A
A
Draf
W
W
D000328:Adult; D016025:Bone Transplantation; D003399:Craniotomy; D003952:Diagnostic Imaging; D005357:Fibrous Dysplasia of Bone / Q000000981:diagnostic imaging / Q000601:surgery; D005546:Forehead / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010039:Otorhinolaryngologic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis; D011859:Radiography; D013524:Surgical Flaps
Rekstruktion der Stirnregion mit Tabula externa des Schädels.