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[Vascularized bone grafts in the treatment of hemifacial microsomia]
A R Paranque1, J L Cariou, E Bey
1Service de chirurgie maxillofaciale et plastique de la face, HIA Bégin, 69, avenue de paris, 94160 Saint-Mandé, France.
Abstract:
A systematic and theoretic review is performed on the vascularised bone donor sites that may be useful in the case of hemifacial microsomia. A review of the literature reveals that the iliac crest and the scapula are the most commonly used vascularised bone grafts. A case study is included in the paper, showing an hemifacial microsomia reconstruction using a composite fibular vascularised bone graft. They highlight the criterias they think fundamental for choosing the vascularised bone graft donor site regarding the aims of the reconstruction of a Pruzansky grade II or III.