Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 01 Jun 2011

Utilization of Surgical Trepan for the Obtainment of Calvarial Autogenous Bone Graft in Maxillary Reconstructions

DDS, MSc,
DDS, MSc,
DDS,
DDS, MSc, and
DDS, PhD, MSc
Page Range: 347 – 351
DOI: 10.1563/AAID-JOI-D-09-00136.1
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Abstract

Maxillomandibular reconstructions are traditionally performed by means of autogenous bone grafts collected from intraoral donor areas and extraoral donor areas such as clavicle, iliac bone, rib, and tibia. The calvarial bone has been studied as an alternative donor area, with a low incidence of complications and minimal postoperative morbidity. Complications such as dural lacerations associated with cerebrospinal fluid leakage and extradural and subdural bleeding were minimized due to the use of surgical trepan, allowing the diploic layer delimitation before the osteotomy, preserving the internal calvarial cortical. The purpose of this article is to suggest a new technique for the obtainment of calvarial bone grafts with surgical trepan.

Copyright: 2011 by the American College of Veterinary Internal Medicine
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1–6.
F igure 1–6.

Figure 1 . Operative field obtained after incision and parietal flap. Figure 2. Trepan initial utilization for the localization of the internal cortical. Figure 3. Diploe area localized. Figure 4. Monocortical osteotomy and graft delimitation. Figure 5. Final osteoplasty of the donor site. Figure 6. Final suture.


Contributor Notes

*Corresponding author, e-mail: waltergealh@gmail.com
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