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Autogenous bone in orbital reconstruction.

K I Perman1, G W Price

  • 1Washington Hospital Center, Washington, DC.

Advances in Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1987
PubMed
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Autogenous bone grafts are crucial for facial and orbital reconstruction after trauma. This review covers harvesting techniques for rib, iliac, and calvarial grafts, comparing them with alloplastic materials.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Autogenous bone grafts are essential for repairing facial and orbital defects caused by trauma.
  • Harvesting techniques and material selection are critical for successful reconstruction.

Purpose of the Study:

  • To review the application of autogenous bone grafts in facial and orbital reconstruction.
  • To discuss harvesting methods for common graft sites (rib, iliac, calvarium).
  • To explore the debate between autogenous and alloplastic grafting materials.

Main Methods:

  • Literature review focusing on reconstructive surgery techniques.
  • Discussion of surgical approaches for harvesting bone grafts from the rib, ilium, and calvarium.
  • Comparative analysis of autogenous versus alloplastic materials.

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Main Results:

  • Autogenous bone grafts from the rib, ilium, and calvarium are viable options for facial and orbital reconstruction.
  • Each donor site presents unique advantages and disadvantages regarding graft volume, contour, and morbidity.
  • Controversies exist regarding the optimal choice between autogenous grafts and alloplastic substitutes.

Conclusions:

  • Autogenous bone grafts remain a cornerstone in complex facial and orbital reconstructions.
  • The choice of graft material depends on the specific defect, surgeon preference, and patient factors.
  • Further research may clarify the long-term outcomes and ideal indications for each grafting option.