title: An algorithm for management of residual posttraumatic calvarial defects in adults.
abstract: For the discussion of options in late reconstruction of residual posttraumatic calvarial defects in adults, the calvaria is divided into three reconstructive zones. Zone 1 comprises the frontal sinus region and the contour of the supraorbital brow; Zone 2 comprises the smooth, cosmetically visible prehairline forehead; Zone 3 comprises the posthairline area and the calvaria. The particular reconstructive requirements (autogenous bone versus alloplastic material) of each zone are described and illustrated with clinical cases. The merits of bone from various donor sites and those of alloplastic material are discussed. The authors present an algorithm of reconstructive choices for residual posttraumatic calvarial defects in adults based on the nature of the defect and the aesthetic reconstructive zone.
authors.affiliation: Division of Plastic Surgery, Baylor College of Medicine, Department of Veterans Affairs Medical Center, Houston, Texas, USA.
authors.forename: D
authors.initials: D
authors.lastname: Netscher
authors.forename: S
authors.initials: S
authors.lastname: Stal
authors.forename: S S
authors.initials: SS
authors.lastname: Shenaq
authors.forename: E L
authors.initials: EL
authors.lastname: Alford
authors.forename: A
authors.initials: A
authors.lastname: Valadka
mesh_terms: D000328:Adult; D000465:Algorithms; D001847:Bone Diseases / Q000145:classification / Q000601:surgery*; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation; D004954:Esthetics; D005546:Forehead / Q000293:injuries / Q000601:surgery; D005624:Frontal Bone / Q000293:injuries / Q000601:surgery; D005626:Frontal Sinus / Q000293:injuries / Q000601:surgery; D006801:Humans; D008297:Male; D009777:Occipital Bone / Q000293:injuries / Q000601:surgery; D009915:Orbit / Q000293:injuries / Q000601:surgery; D010294:Parietal Bone / Q000293:injuries / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012886:Skull / Q000293:injuries* / Q000601:surgery; D019291:Skull Base / Q000293:injuries / Q000601:surgery; D012887:Skull Fractures / Q000601:surgery; D013530:Surgical Wound Infection / Q000601:surgery; D013701:Temporal Bone / Q000293:injuries / Q000601:surgery
chemical_list: D018786:Bone Substitutes