[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.
Klinik für HNO-Krankheiten, Kopf-, Hals- und Plastische Gesichtschirurgie, Kommunikationsstörungen, Städtisches Klinikum Fulda.
B
B
Schick
J
J
Hendus
A
A
el Tahan
W
W
Draf
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.