Transplanted demineralized bone graft in cranial reconstructive surgery.

Abstract:

:Surgical reconstruction of cranial deformities and synostosis is occasionally accompanied by incomplete bone growth to cover all areas of cranial vault that have been exposed in the correction. The restrictive nature of some forms of synostosis require more bone in the repair than is available using the child's natural skull for autogenous bone cranioplasty. Rib and iliac crest autografts have been used with success. These grafts must be harvested form a remote site with increased morbidity. A split-thickness skull autograft is the cranioplasty material of choice but children under the age of 6 years may lack the skull thickness needed to use this technique. Perforated demineralized bone matrix has been transplanted in 46 operations in 42 patients from 1990 to 1995 for repair of residual skull defects in children having previously undergone craniofacial repairs, for primary reconstruction of the cranial vault for patients with synostosis and for repair of skull defects resulting from trauma and skull tumor excisions. The vast majority of grafts have resulted in complete closure of the defect, providing a matrix for new bone formation. These patients are presented. Surgical techniques of cranial defect repair with perforated demineralized bone matrix are discussed.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Moss SD,Joganic E,Manwaring KH,Beals SP

doi

10.1159/000120959

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

199-204; discussion 204-5

issue

4

eissn

1016-2291

issn

1423-0305

journal_volume

23

pub_type

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