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Related Concept Videos

Sutures of the Skull01:22

Sutures of the Skull

The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Bone Formation by Intramembranous Ossification01:29

Bone Formation by Intramembranous Ossification

Intramembranous ossification is one of the two processes involved in the development of bones within an embryo. The flat bones of the face, most of the cranial bones, and the clavicles are formed via this process. During intramembranous ossification, the bones develop directly from sheets of undifferentiated mesenchymal connective tissue.
The process begins when mesenchymal cells in the embryonic skeleton gather together and differentiate into osteogenic cells, which then develop into...
Bone Remodeling and Repair01:31

Bone Remodeling and Repair

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...
Overview of the Skull01:08

Overview of the Skull

The cranium (skull) is the skeletal structure of the head that supports the face and protects the brain. It is subdivided into the facial bones and the brain case, or cranial vault. The facial bones underlie the facial structures, form the nasal cavity, enclose the eyeballs, and support the teeth of the upper and lower jaws.
The cranial vault surrounds and protects the brain and houses the middle and inner ear structures. This cavity is bounded superiorly by the rounded top of the skull, which...
Gross Anatomy of Bone01:17

Gross Anatomy of Bone

The two main features of a long bone are the diaphysis and the epiphysis.
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Computed Tomography and Optical Imaging of Osteogenesis-angiogenesis Coupling to Assess Integration of Cranial Bone Autografts and Allografts
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Computed Tomography and Optical Imaging of Osteogenesis-angiogenesis Coupling to Assess Integration of Cranial Bone Autografts and Allografts

Published on: December 22, 2015

Current and emerging basic science concepts in bone biology: implications in craniofacial surgery.

Adam J Oppenheimer1, John Mesa, Steven R Buchman

  • 1Division of Plastic Surgery, University of Michigan Hospitals, Ann Arbor, Michigan 48109-0340, USA.

The Journal of Craniofacial Surgery
|February 17, 2012
PubMed
Summary

Autogenous bone grafting is the standard for craniofacial reconstruction, but limitations exist. Bone tissue engineering offers a promising alternative source for bone regeneration, utilizing scaffolds, signals, and cells.

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Area of Science:

  • Craniofacial Surgery
  • Regenerative Medicine
  • Bone Biology

Background:

  • Autogenous bone grafting is the gold standard for craniofacial reconstruction.
  • Limitations include donor site morbidity and risks, with graft survival affected by irradiation, contamination, and poor vascularity.
  • Pediatric critical-size defects may be limited by donor bone availability.

Purpose of the Study:

  • To review contemporary and emerging concepts in bone biology.
  • To discuss implications for craniofacial surgery.
  • To emphasize current practices, controversies, and future applications of bone graft alternatives.

Main Methods:

  • Review of current literature on bone biology and craniofacial reconstruction.
  • Analysis of established and emerging bone tissue engineering principles.
  • Discussion of clinical applications and limitations.

Main Results:

  • Autogenous bone grafts remain the standard but have significant limitations.
  • Bone tissue engineering, using scaffolds, signals, and cells, presents a promising alternative.
  • Vascularization is critical for the success of all bone graft strategies.

Conclusions:

  • Bone tissue engineering offers a potentially limitless source of autogenous bone for craniofacial reconstruction.
  • Surgeons must understand the risks and benefits of bone graft alternatives.
  • Future applications focus on regenerative craniofacial surgery using tissue engineering components.