Mohr C, Seifert V, Schettler D
Klinik für Gesichts- und Kieferchirurgie Universitätsklinikum Essen.
Fortschr Kiefer Gesichtschir. 1994;39:43-6.
From 1972 to 1992, 65 patients with traumatic or postoperative defects of the orbitocranial skeleton were operated on at the department for maxillofacial surgery, University of Essen. Until 1989 alloplastic reconstruction with PMMA implants or autogenous bone grafts of the iliac crest were preferred. Since 1989 we have utilized autogenous calvarial bone grafts (17 cases). CT based models of the defect helped to select calvarial donor sites of appropriate size and contour. The calvarial autografts provided high resistance against resorption. Until now, we have seen no major donor site morbidity. On the whole the results substantiate these autografts to be the superior material for orbitocranial reconstruction.
1972年至1992年期间，埃森大学颌面外科对65例眶颅骨骼创伤或术后缺损患者进行了手术。1989年以前，首选使用聚甲基丙烯酸甲酯（PMMA）植入物或取自髂嵴的自体骨移植进行异体修复。自1989年以来，我们采用了取自颅骨的自体骨移植（17例）。基于CT的缺损模型有助于选择大小和轮廓合适的颅骨供区。颅骨自体移植对吸收具有高度抵抗力。到目前为止，我们尚未发现供区有严重并发症。总体而言，结果证实这些自体移植是眶颅重建的优质材料。
