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Pericranial free grafts in the face
Archives of Otolaryngology--Head & Neck Surgery
|February 1, 1989
Summary
The pericranium, a cranial tissue graft, shows promise for facial surgery, offering a convenient autograft option with no reported infections or rejections in a 33-month study.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Regenerative Medicine
Background:
- The pericranium is a readily available source of autogenous tissue.
- Its application in facial reconstructive surgery remains an area for exploration.
Purpose of the Study:
- To evaluate the efficacy and safety of pericranial grafts in facial surgery.
- To assess the graft's utility for various reconstructive purposes.
Main Methods:
- A retrospective review of 34 patients undergoing facial surgery over 33 months.
- Harvesting and utilization of 82 pericranial grafts for augmentation, coating, and suspension procedures.
Main Results:
- Pericranial grafts were successfully used for facial contouring and reconstruction.
- Suspension and coating applications demonstrated significant utility.
- Potential for graft resorption necessitates planning for overcorrection.
- No instances of graft rejection or infection were observed.
Conclusions:
- The pericranium serves as a viable and safe autograft for specific facial surgical applications.
- Ease of harvest and minimal donor site morbidity are key advantages.
- Further studies can refine techniques to optimize outcomes, accounting for potential resorption.