Combination of vascularized outer-table calvarial bone graft based on the superficial temporal vessels and allomatrix for the repair of an orbito-frontal blow-out fracture in a child.
METHODS
A vascularized outer-table calvarial bone graft was used for repairing a Posnick type 2 traumatic orbito-frontal bone defect supported by the use of a calcium-based putty (Allomatrix) in a 7-year-old girl. Gaps between the donor and recipient sites were filled with Allomatrix containing demineralized bone matrix particles. Four years later there was a good cosmetic result using an artificial left eye.


CONCLUSIONS
Orbito-frontal defects have been repaired using iso-, allo- or xenografts as well as synthetic materials. Anatomical studies have pointed to the importance of the superficial temporal vessels for the vascular supply of a graft to the calvaria.


CONCLUSIONS
The vascularized outer-table calvarial bone graft based on the superficial temporal vessels is a reliable option for repairing bony defects in the craniofacial skeleton especially in irradiated or scarred areas where there is a paucity of well-vascularized tissues. It also has the potential for bony growth in children.
Ali
Faizal
F
Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan.
Halim
Ahmad Sukari
AS
Najihah
Sharida Zakaria
SZ
Ibrahim
Mohtar
M
Abdullah
Jafri
J
D001857:Bone Matrix / Q000637:transplantation*; D018786:Bone Substitutes / Q000627:therapeutic use*; D016025:Bone Transplantation / Q000379:methods* / Q000473:pathology; D002648:Child; D004954:Esthetics; D005137:Eye, Artificial; D005205:Fascia / Q000098:blood supply / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000293:injuries*; D006801:Humans; D009917:Orbital Fractures / Q000601:surgery*; D019291:Skull Base / Q000293:injuries; D012887:Skull Fractures / Q000601:surgery*; D013524:Surgical Flaps; D013699:Temporal Arteries / Q000637:transplantation; D016896:Treatment Outcome
D018786:Bone Substitutes