Cinberg J Z, Rosenbaum F A, Lowrie C, Gorman M
Arch Otolaryngol. 1985 Jul;111(7):434-6. doi: 10.1001/archotol.1985.00800090048005.
Access, pain, prolonged hospitalization, or inadequacy of consistency and quantity of a graft are drawbacks to traditional donor sites of autologous bone for reconstruction of severe midface trauma with bone loss. The sectioning of human skulls resulted in selection of the parietal bone as a technically feasible donor site for obtaining adequate autologous bone for the rehabilitation of generous defects in the floor of the orbit or the anterior maxillary wall. The examination of various animal skulls resulted in the selection of the large canine as an adequate experimental model to evaluate the technique. The parietal bone served as a harvest site, without morbidity, for autologous bone used to fill in the defects in the orbit and anterior malar wall in the live canine model. Subsequently, human autografts of outer cranial table parietal bone provided adequate material to repair severe floor of orbit and maxillary defects with minimal patient discomfort and donor site morbidity.
取材、疼痛、住院时间延长，或者自体骨移植物的一致性和数量不足，都是用于严重面中部骨缺损创伤重建的传统自体骨供区的缺点。对人类颅骨进行剖切后，选择顶骨作为技术上可行的供区，以便获取足够的自体骨用于修复眶底或上颌前壁的大面积缺损。对各种动物颅骨进行检查后，选择大型犬作为评估该技术的合适实验模型。在活体犬模型中，顶骨作为自体骨的取材部位，用于填充眼眶和颧前壁的缺损，且无并发症。随后，取自颅骨外板的人类顶骨自体移植物提供了足够的材料，以修复严重的眶底和上颌骨缺损，同时使患者不适和供区并发症降至最低。
