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Reconstruction of complex defects with composite calvarial flaps

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Abstract

Over the past four years, composite calvarial flaps have been used to reconstruct complex defects in 14 patients. In three of the patients they were free flaps for hand reconstruction. Clinical application (technical details) and complications are also discussed.

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References

  1. Abul-Hassan HS, Von Drasek-Ascher G, Acland RD (1986) Surgical anatomy and blood supply of the fascial layers of the temporal region. Plast Reconstr Surg 77:14

    Google Scholar 

  2. Gosain AK, Yousif NJ, Madiedo G, Larson DL, Motloub HS, Sanger JR (1993) Surgical anatomy of the SMAS: a reinvestigation. Plast Reconstr Surg 92:1254

    Google Scholar 

  3. Har-Shai Y, Fukuta K, Collares MV Stefanovic PD, Filipovic BR, Herschman BR, Jackson IT (1992) The vascular anatomy of the galeal flap in the interparietal and midline regions. Plast Reconstr Surg 89:64

    Google Scholar 

  4. Hing DG, Buncle HJ, Alpert BS (1988) Use of the temporoparietal free fascial flap in the upper extremity. Plast Reconstr Surg 81:534

    Google Scholar 

  5. Rose EH, Norris MS (1990) The versatile temporoparietal fascial flap: adaptability to a variety of the composite defects. Plast Reconstr Surg 85:224

    Google Scholar 

  6. Tolhurst DE, Carstens MH, Greco RJ, Hurtwiz DJ (1991) The surgical anatomy of the scalp. Plast Reconstr Surg 87:603

    Google Scholar 

  7. Casanova R, Cavalcante D, Grotting JC, Vasconez LO, Psillakis JM (1986) Anatomic basis for vascularized outer-table calvarial bone flaps. Plast Reconstr Surg 78:300

    Google Scholar 

  8. Cutting CB, McCarthy JG, Berenstein A (1984) Blood supply of the upper craniofacial skeleton: the search for composite calvarial bone flaps. Plast Reconstr Surg 75:603

    Google Scholar 

  9. Pensler J, McCarthy JG (1985) The calvarial donor site an anatomic study in cadavers. Plast Reconstr Surg 75:648

    Google Scholar 

  10. Zins JE, Whitaker LA (1983) Membranous versus endochondral bone: implications for craniofacial surgey. Plast Reconstr Surg 72:672

    Google Scholar 

  11. Cutting CB, McCarthy JG (1983) Comparison of residual osseous mass between vascularized and nonvascularized onlay bone transfers. Plast Reconstr Surg 72:672

    Google Scholar 

  12. Antonyshyn O, Colcleugh RG, Hurtst LN, Anderson C (1986) The temporalis myo-osseous flap: an experimental study. Plast Reconstr Surg 77:406

    Google Scholar 

  13. Antonyshyn O, Colcleugh RG, Anderson C (1987) Growth potential in suture bone inlay grafts: a comparison of vascularized and free calvarial bone graft. Plast Reconstr Surg 79:l

    Google Scholar 

  14. Fukuta K, Har-Shai Y, Collares MV Herschman BR, Persani RJ, Jackson IT (1992) The viability of revascularized calvarial bone graft in a pig model. Ann Plast Surg 29:136

    Google Scholar 

  15. Jackson IT, Adham M, Bite U, Marx R (1987) Update on cranial bone grafts in craniofacial surgery. Ann Plast Surg 18:37

    Google Scholar 

  16. Conley J (1972) Use of the composite flaps containing bone for major repairs in the head and neck. Plast Reconstr Surg 49:522

    Google Scholar 

  17. van-der Meulen JCH, Hauben DJ, Vaandrager JM, BirgenFrenkel DH (1984) The use of a temporal osteoperiosteal flap for the reconstruction of malar hypoplasia in Treacher Collins syndrome. Plast Reconstr Surg 74:687

    Google Scholar 

  18. McCarthy JG, Zide BM (1984) The spectrum of calvarial bone grafting: introduction of vascularized calvarial bone flap. Plast Reconstr Surg 74:10

    PubMed  Google Scholar 

  19. Ilankovan V, Jackson IT (1992) Experience in the use of the calvarial bone grafts in orbital reconstruction. Br J Oral Maxillofac Surg 30:92

    Google Scholar 

  20. Choung PH, Nam IW Kim KS (1991) Vascularized cranial bone grafts for mandibular and maxillary reconstruction. J Craniomaxillofac Surg 19:235

    Google Scholar 

  21. Musolas A, Colombini E, Michelena J (1991) Vascularized full-thickness parietal bone grafts in maxillofacial reconstruction: the role of the galea and superficial temporal vessels. Plast Reconstr Surg 87:261

    Google Scholar 

  22. Jackson IT, Helden G, Marx R (1986) Skull bone grafts in maxillofacial and craniofacial surgery. J Oral Maxillofac Surg 44:949

    Google Scholar 

  23. McCarthy JG, Cutting CB, Show WW (1987) Vascularized calvarial flaps. Clin Plast Surg 14:37

    Google Scholar 

  24. Psillakis JM, Grotting JC, Casanova R, Cavalcante D, Vasconez LO (1986) Vascularized outer-table calvarial bone flaps. Plast Reconstr Surg 78:309

    CAS  PubMed  Google Scholar 

  25. Bite U, Jackson IT, Wahner HV, Marsh RV (1987) Vascularized skull bone grafts in craniofacial surgery. Ann Plast Surg 19:3

    Google Scholar 

  26. Holtje WJ and Schwipper V (1989) The temporalis osteomyoperosteal flap: its blood supply and use for reconstruction of the maxilla. Eur J Plast Surg 12:245

    Google Scholar 

  27. Acarturk S, Dalay C, Yavuz M (1994) Reconstruction of the wide palate defects with temporal osteocutaneous island flaps. Eur J Plast Surg 17:1995

    Google Scholar 

  28. Jackson IT (1992) Calvarial bone for the head and neck reconstruction. In: Jackson IT, Sommerland BC (eds) Recent advances in plastic surgery 4. Churchill Livingstone, Edinburgh, p93

    Google Scholar 

  29. Lam KH, Wei WI, Sui KF (1983) The pectoralis major costomyocutaneous flap for mandibular reconstruction. Plast Reconstr Surg 61:724

    CAS  Google Scholar 

  30. Siemssen SO, Kirkby B, O'Conner TPF (1978) Immediate reconstruction of a resected segment of the lower jaw using a compound flap of clavicle and sternomastoid muscle. Plast Reconstr Surg 61:724

    Google Scholar 

  31. Dufresne C, Cutting C, Valauri F, Klein M, Colen S, McCarthy JG (1987) Reconstruction mandibular and floor of mouth defects using the trapezius osteomyocutaneous flap. Plast Reconstr Surg 79:687

    PubMed  Google Scholar 

  32. Bell MS, Barran PT (1981) The rib-pectoralis major osteomyocutaneous flap. Ann Plast Surg 6:347

    Google Scholar 

  33. Panje WR (1985) Mandible reconstruction with the trapezius osteomusculocutaneous flap. Arch Otolaryngol 111:223

    Google Scholar 

  34. Munoz FI, Juncosa AM, Camillo FO (1990) Vascularized parietal bone flaps. J Cranimaxillofac Surg 18:158

    Google Scholar 

  35. Kamiji T, Fukujiwa M, Honda T, Higasa H, Sekiguchi J, Ohmori K (1991) Restoration of mandible by full-thickness calvarial bone flap. Ann Plast Surg 29:438

    Google Scholar 

  36. Bochlogyros PN (1985) Non-union of fractures of the mandible. J Maxillofac Surg 13:189

    Google Scholar 

  37. Hirshowitz B, Jackson IT (1987) An attempt to harness the viscoelastic properties of skin in face lift operations: a preliminary report. Ann Plast Surg 18:188

    Google Scholar 

  38. Upton J, Rogers C, Durham-Smith G, Swartz WM (1986) Clinical applications of free temporoparietal flaps in hand reconstruction J Hand Surg 11A:475

    Google Scholar 

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Ankara Numune Hospital, Ankara, Turkey

    A. T. Tellioğlu, S. Çelebioğlu, C. Baran, U. Koçer & O. Şensöz

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  1. A. T. Tellioğlu
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  2. S. Çelebioğlu
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  3. C. Baran
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  4. U. Koçer
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  5. O. Şensöz
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Tellioğlu, A.T., Çelebioğlu, S., Baran, C. et al. Reconstruction of complex defects with composite calvarial flaps. Eur J Plast Surg 19, 234–239 (1996). https://doi.org/10.1007/BF00171875

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