Technique for in-office cranial bone harvesting.
OBJECTIVE
This is a report of a technique of cranial bone harvesting suitable for the outpatient setting.


METHODS
Bone scrapers are used for the harvesting of cranial bone shavings with the patient under intravenous sedation or general anesthesia.


RESULTS
Graft volumes larger than that usually obtainable from intraoral sites and the tibia have been harvested utilizing this technique. In a series of 8 first patients, the largest volume of bone obtained was 14 cc with no complications related to the donor sites. These cases include the following types of pre-implant reconstructive procedures: large unilateral sinus grafting, bilateral sinus grafting/guided-bone regeneration of an entire alveolar ridge, inlay grafting of the alveolus, inlay grafting in association with distraction osteogenesis, subnasal grafting, alveolar cleft grafting, closure of large oroantral defects combined with sinus grafting, and grafting of an grossly atrophic mandible with simultaneous placement of dental implants via the submental approach.


CONCLUSIONS
This is a safe bone harvesting technique providing an alternative source of autogenous bone graft.
Department of Oral and Maxillofacial Surgery, Tufts University School of Dental Medicine, Boston, MA 02111, USA.
Maisa O
MO
Al-Sebaei
Maria B
MB
Papageorge
Tony
T
Woo
D000540:Alveolar Ridge Augmentation; D000556:Ambulatory Surgical Procedures / Q000379:methods*; D000771:Anesthesia, Intravenous; D001284:Atrophy; D016025:Bone Transplantation; D016292:Procedural Sedation; D015921:Dental Implants; D016557:Guided Tissue Regeneration, Periodontal; D006801:Humans; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008443:Maxillary Sinus / Q000601:surgery; D009957:Oroantral Fistula / Q000601:surgery; D019857:Osteogenesis, Distraction; D012886:Skull; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014182:Transplantation, Autologous
D015921:Dental Implants