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Calvarial bone graft harvest. Techniques, considerations, and morbidity
J L Frodel1, L J Marentette, V C Quatela
1Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City.
Archives of Otolaryngology--Head & Neck Surgery
|January 1, 1993
Summary
Calvarial bone grafting is crucial for reconstructive surgery. This review details harvesting techniques, donor site selection, and morbidity to optimize outcomes in craniomaxillofacial trauma.
Area of Science:
- Plastic Surgery
- Orthopedic Surgery
- Oral and Maxillofacial Surgery
Background:
- Calvarial bone grafting is essential for treating craniomaxillofacial trauma and defects.
- Various harvesting techniques exist to meet specific reconstructive needs regarding graft dimensions and contour.
- Donor site selection and associated morbidity are critical considerations in the grafting process.
Purpose of the Study:
- To review current calvarial bone graft harvesting techniques.
- To discuss donor site selection and minimize complications and morbidity.
- To present morbidity data from a large multi-institutional series.
Main Methods:
- Review of existing literature on calvarial bone graft harvesting.
- Discussion of technique selection based on reconstructive requirements.
- Analysis of morbidity data from 121 patients undergoing 350+ calvarial bone graft harvests.
Main Results:
- Multiple harvesting techniques offer versatility for different reconstructive scenarios.
- Careful technique and donor site selection can minimize patient morbidity.
- The multi-institutional series provides valuable insights into complication rates.
Conclusions:
- Optimizing calvarial bone graft harvesting involves balancing technique, donor site, and patient factors.
- Minimizing morbidity is achievable through informed technique selection and surgical planning.
- This review provides a comprehensive guide for surgeons performing calvarial bone grafts.