[Pedicled parietal bone grafts in the facial reconstruction surgery]

Between years 1996 and 1997, pedunculated parietal bone graft for facial reconstruction after tumor excision was used in 8 patients. The defects comprised one side of maxilla with the orbit bottom, zygomatic bone and the orbit bottom, mandibular ramus, and the whole mandible: in 4, 1, 2, and 1 patient respectively. The reconstruction was done directly after tumor excision in 6 patients and later on in the other 2. The grafts were of full thickness in 6 and of outer table in 2. Functional and cosmetic effects were considered satisfactory in 6 patients. The whole mandible reconstruction ended up with a failure due to infection and tumor recurrence.