The Inguinal Adipodermal Graft: a Single-Stage Technique for Cranial Linear Grove-like Defects Correction.
BACKGROUND
In reconstruction of post-traumatic craniofacial defects Palacos R-40 is mostly used by neurosurgeons and by maxillofacial surgeons after tumor removal with consequently noticeable irregularities on the shape of the cranial region and face. We harvested customized adipodermal (AD) graft in low inguinal region and use it as an inlay autologous graft for surface irregularities correction with a 100% survival and without noticeable reduction of the graft volume.


METHODS
Between 2009 and 2015, an adipodermal gaft was used in 5 cases of craniofacial post-traumatic defects, 3 of which were due to Palacos R-40 cranial reconstruction and 2 connected to maxillofacial tumor removal and post-traumatic reconstruction.


RESULTS
There were no complications and a satisfactory aesthetic result was achieved in all cases.


CONCLUSIONS
The inguinal inlay autologous AD graft is, due to our best knowledge, an original single-stage procedure for those typical cranial grove-like defects correction. It gives a wide option of different shapes with relatively easy to proceed and predictable result.
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Croatia.
Zlatko
Z
Vlajcic
Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital "Dubrava", Zagreb, Croatia.
Rado
R
Zic
D019465:Craniofacial Abnormalities / Q000209:etiology / Q000601:surgery*; D004954:Esthetics; D006085:Graft Survival; D006801:Humans; D007264:Inguinal Canal / Q000098:blood supply; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D014182:Transplantation, Autologous; D016896:Treatment Outcome
adipo-dermal; autologous; craniofacial; defects; graft