Frontal bone reconstruction with split calvarial and cancellous iliac bone.

Area of Science:

• Neurosurgery
• Plastic Surgery
• Reconstructive Surgery

Background:

• Forehead depressions can result from trauma or congenital abnormalities.
• Reconstruction of the frontal region requires addressing both aesthetic and functional concerns.
• The frontal sinus area presents unique challenges due to its proximity to critical structures and infection risk.

Observation:

• A patient presented with a significant depression in the frontal forehead region.
• An autogenous split-thickness calvarial bone graft was utilized for reconstruction.
• Cancellous bone from the iliac crest was strategically placed within the dead space.

Findings:

• The calvarial bone graft provided excellent cosmetic correction of the forehead depression.
• The interposition of iliac crest cancellous bone effectively eliminated dead space.
• This technique significantly reduced the likelihood of infection in the frontal sinus region.

Implications:

• Autogenous split-thickness calvarial bone grafts are a viable option for correcting forehead contour deformities.
• The use of cancellous bone grafts can mitigate infection risks in complex reconstructive cases.
• This approach offers a safe and effective method for improving aesthetic outcomes and patient satisfaction in craniofacial reconstruction.