Schick B, Hendus J, el Tahan A, Draf W
Klinik für HNO-Krankheiten, Kopf-, Hals- und Plastische Gesichtschirurgie, Kommunikationsstörungen, Städtisches Klinikum Fulda.
Laryngorhinootologie. 1998 Aug;77(8):474-9. doi: 10.1055/s-2007-997009.
Calvarial bone graft is often used in reconstructive cranio-facial surgery. As most common three different forms can be distinguished: outer-table bone, full thickness grafts and composite flaps (bone with a periostal or muscular pedicle).
An extensive fibrous dysplasia of the frontal region was removed in a 26 years old patient. Reconstruction was carried out with alloplastic material achieving a good esthetic result. Recurrent seroma and occurrence of a fistula demanded removal of the alloplastic material and en-bloc reconstruction of the forehead region was accomplished with a parietal outer-table graft. Within a follow-up time of one year a good esthetic and stable reconstruction has been achieved.
Split-thickness calvarial bone is still a versatile graft in reconstruction of the forehead region. Although a low rate of side effects in harvesting calvarial bone grafts are in general expected, one has to be aware of dural lesions occuring in the donor site during craniotomy.
颅骨移植常用于颅面重建手术。可区分出三种最常见的不同形式：外板骨、全层移植骨和复合皮瓣（带骨膜或肌肉蒂的骨）。
一名26岁患者的额部广泛性骨纤维发育不良被切除。使用异体材料进行重建，获得了良好的美学效果。复发性血清肿和瘘管的出现要求移除异体材料，并用顶骨外板移植骨对额部区域进行整块重建。在一年的随访期内，实现了良好的美学和稳定的重建效果。
颅骨分层骨在额部区域重建中仍然是一种通用的移植材料。尽管一般预计颅骨移植骨的副作用发生率较低，但必须注意开颅手术中供区出现的硬脑膜损伤。
