Volume Maintenance of Inlay Bone Grafts in the Craniofacial Skeleton

Surgical defects created secondary to oncological resection are often debilitating for patients, both functionally and esthetically. Meticulous surgical planning and intricate knowledge of the vital anatomical structures are essential for understanding the biology of reconstruction in the craniofacial skeleton. Unlike reconstructive procedures in other areas where the functional components may be given priority, reconstruction of the face requires a delicate balance between the esthetic and functional units. Despite new developments, autogenous grafts have frequently remained a reliable alternative that withstood the test of time. Non-vascularized bone grafts are often a subset of autogenous grafts, where the graft solely depends on the recipient’s vascularity and is indicated in defect sizes of less than 6 cm.

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Volume Maintenance of Onlay Bone Grafts in the Craniofacial Skeleton: Micro-architecture versus Embryologic Origin

Plastic & Reconstructive Surgery ◽

10.1097/00006534-199808000-00001 ◽

1998 ◽

Vol 102 (2) ◽

pp. 291-299 ◽

Cited By ~ 145

Author(s):

Wayne Ozaki ◽

Steven R. Buchman

Keyword(s):

Bone Grafts ◽

Craniofacial Skeleton

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The effect of bovine bone morphogenetic protein on the resorption of autogenous onlay bone grafts in the craniofacial skeleton

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/s1010-5182(96)80368-4 ◽

1996 ◽

Vol 24 ◽

pp. 75-76

Keyword(s):

Bone Morphogenetic Protein ◽

Bone Grafts ◽

Bovine Bone ◽

Craniofacial Skeleton ◽

Morphogenetic Protein

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Distraction Osteogenesis in the Treatment of Craniofacial Anomalies: Applications and Outcomes

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00055 ◽

2020 ◽

Vol 5 (6) ◽

pp. 1469-1481 ◽

Cited By ~ 1

Author(s):

Joseph A. Napoli ◽

Carrie E. Zimmerman ◽

Linda D. Vallino

Keyword(s):

Distraction Osteogenesis ◽

Bone Growth ◽

Upper Airway ◽

Craniofacial Anomalies ◽

Craniofacial Skeleton ◽

Facial Skeleton ◽

Psychosocial Impairment ◽

And Function ◽

Correct Structure

Purpose Craniofacial anomalies (CFA) often result in growth abnormalities of the facial skeleton adversely affecting function and appearance. The functional problems caused by the structural anomalies include upper airway obstruction, speech abnormalities, feeding difficulty, hearing deficits, dental/occlusal defects, and cognitive and psychosocial impairment. Managing disorders of the craniofacial skeleton has been improved by the technique known as distraction osteogenesis (DO). In DO, new bone growth is stimulated allowing bones to be lengthened without need for bone graft. The purpose of this clinical focus article is to describe the technique and clinical applications and outcomes of DO in CFA. Conclusion Distraction can be applied to various regions of the craniofacial skeleton to correct structure and function. The benefits of this procedure include improved airway, feeding, occlusion, speech, and appearance, resulting in a better quality of life for patients with CFA.

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