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Split Calvarial Graft to Repair the Large Frontal Bone Defect

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Abstract

The ideal reconstructive material for cranioplasty is autogenous bone, however if it is not available the use of alloplastic materials is recommended. We present a case of 26-year-male patient who sustained compound depressed fracture of the frontal bone and associated anterior cranial fossa fracture following a road traffic accident. He was managed at hospital where the fractured bone fragments were removed but recently presented with watery discharge from nose (CSF rhinorrhoea) and cosmetic deformity of forehead. We describe the utilization of autogenous local frontal bone split calvarial graft for the reconstruction of the defect.

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References

  1. Marchac D, Greensmith A (2008) Long-term experience with methylmethacrylate cranioplasty in craniofacial surgery. J Plast Reconstr Aesthet Surg 61(7):744–752

    Article  CAS  PubMed  Google Scholar 

  2. Mottaran R, Guarda-Nardini L, Fusetti S, Ferroneto G, Salar G (2004) Reconstruction of a large post-traumatic cranial defect with a customized titanium plaque. J Neurosurg Sci 48(3):143–147

    CAS  PubMed  Google Scholar 

  3. Yamamoto Y, Minakawa H, Yoshida T, Igawa H, Sugihara T, Ohura T, Nohira K (1993) Role of bone graft in reconstruction of skull base defect: is a bone graft necessary. Skull Base Surg 3(4):223–229

    Article  CAS  PubMed  Google Scholar 

  4. Disa JJ, Rodriguez VM, Cordeiro PG (1998) Reconstruction of lateral skull base oncological defects: the role of the free tissue transfer. Ann Plast Surg 41(6):633–639

    Article  CAS  PubMed  Google Scholar 

  5. Boyle JO, Shah KC, Shah JP (1998) Craniofacial resection for malignant neoplasms of the skull base: an overview. J Surg Oncol 69(4):275–284

    Article  CAS  PubMed  Google Scholar 

  6. Gil Z, Abergel A, Leider-Trejo L, Khafif A, Margalit N, Amir A, Gur E, Fliss DM (2007) A comprehensive algorithm for anterior skull base reconstruction after oncological resections. Skull Base 17(1):25–37

    Article  PubMed  Google Scholar 

  7. Hendus J, Draf W, Bockmühl U (2005) Reconstruction of the frontoorbital frame using split-thickness calvarial bone grafts. Laryngorhinootologie 84(12):899–904 (Article in German)

    Google Scholar 

  8. Tadros M, Costantino PD (2008) Advances in cranioplasty: a simplified algorithm to guide cranial reconstruction of acquired defects. Facial Plast Surg 24(1):135–145

    Article  CAS  PubMed  Google Scholar 

  9. Tuusa SM, Peltola MJ, Tirri T, Lassila LV, Vallittu PK (2007) Frontal bone defect repair with experimental glass-fiber-reinforced composite with bioactive glass granule coating. J Biomed Mater Res B Appl Biomater 82(1):149–155

    PubMed  Google Scholar 

  10. Greene AK, Warren SM, McCarthy JG (2008) Onlay frontal cranioplasty using wire reinforced methyl methacrylate. J Craniomaxillofac Surg 36(3):138–142

    PubMed  Google Scholar 

  11. Chen TM, Wang HJ, Chen SL, Lin FH (2004) Reconstruction of post-traumatic frontal-bone depression using hydroxyapatite cement. Ann Plast Surg 52(3):303–308

    Article  PubMed  Google Scholar 

  12. Reddi SP, Stevens MR, Kline SN, Villanueva P (1999) Hydroxyapatite cement in craniofacial trauma surgery: indications and early experience. J Craniomaxillofac Trauma 5(1):7–12

    CAS  PubMed  Google Scholar 

  13. Hasegawa M, Torii S, Fukuta K, Saito K (1995) Reconstruction of the anterior cranial base with the galeal frontalis myofascial flap and the vascularized outer table calvarial bone graft. Neurosurgery 36(4):725–731

    Article  CAS  PubMed  Google Scholar 

  14. Agrawal A, Badhu B, Wakode P (2007) Management of a case of massive orbital fracture associated with intracranial injury. Niger J Ophthalmol 15(1):13–16 (Online). Available: http://www.ajol.info/viewarticle.php?id=37975

  15. Agrawal A, Borle RM, Bhola N, Daga A, Bora S, Sachdeva S (2009) Multiple fractures involving the orbit and incidental finding of large fourth ventricular epidermoid. J Craniofac Surg 20(1):261–262

    Article  PubMed  Google Scholar 

  16. Agrawal A, Joharapurkar SR, Borle RM, Richa A. Giant ostoid osteoma of the frontal bone: case report and review of literature. J Oral Maxillofac Surg (India) (accepted for publication)

  17. Rajendra PB, Mathew TP, Agrawal A, Sabharawal G (2009) Characteristics of associated craniofacial trauma in patients with head injuries: An experience with 100 cases. J Emerg Trauma Shock 2(2):89–94

    Article  PubMed  Google Scholar 

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Correspondence to Amit Agrawal.

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Agrawal, A., Baisakhiya, N. & Bhola, N. Split Calvarial Graft to Repair the Large Frontal Bone Defect. J. Maxillofac. Oral Surg. 9, 166–169 (2010). https://doi.org/10.1007/s12663-010-0048-1

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  • DOI: https://doi.org/10.1007/s12663-010-0048-1

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