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KMID : 0358819850120010065
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1985 Volume.12 No. 1 p.65 ~ p.73
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CRANIOPLASTY WITH AUTOGENOUS BONE GRAFTS
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Kim Deok-Young
Kim Sung-Jo
Kang Jin-Sung
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Abstract
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Cranioplasty is a procedure of repairing defects of the skull not only for protection of the content of the skull but also for esthetic and psychological implications.
Since M??ller introduced a method of repairing skull defects by transposing a large scalp flap with a plate of outer table attached to it, several trials have been made with specially prepared autogenous bone grafts. Tibia, ilium, ribs, sternum, scapula and calvrial bone were used as a bone graft. There is no doubt that the use of bone grafts is physiologically sound. However, autogenous bone may be difficult to contour and has limitations in size. Alloplastic materials were used for cranioplasties, but many complications were reported.
We have operated on three cases of cranioplasty using autogenous bone grafts. The first case had a dewithpression on the right temporoparietal area after a craniotomy, and was corrected with split rib grafts. The second case had a compound comminuted fracture of the right fronto-temporo-parietal area and was reconstructed with calvarial bone fragments which had been preserved in the lower abdomen. The third case had a defect on the left frontal bone which was corrected with an outer table of the parietal bone.
The results were very good without any significant complication.
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KEYWORD
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