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KMID : 0358819860130040533
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1986 Volume.13 No. 4 p.533 ~ p.544
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VASCUTARIZED SKULL BONE GRAFTS IN CRANIOFACIAL VASCULARIZED SKULL BONE GRAFTS IN CRANIOFACIAL SURGERY
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Yang Won-Yong
Uldis Bite
Ian T.Jackson
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Abstract
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Recently there has been considerable interest in use of vascularized bone graft by the technique or microsurgery or vascular pedicle. Nonvascularized bone grafts has been used for a long time in facial reconstructive surgery, but these grafts tend to undergo resorption to a variable extent and often to a clinically unacceptable degree. We have experienced 24 cases of vascularized skull bone grafts based on a pedicle of temporalis muscle for zygomatic and malar eminence reconstruction. Technetium bone scans have confirmed that vascularized bone grafts based only on the temporalis muscle and anterior and posterior deep temporal arteries do have a blood supply at 5 to 7 days following surgery. After mean follow-up 10 months, there is no evidence of bone grafts resorption. Because vascularized skull bone grafts based on temporalis muscle are truely vascularized and are not resorbed like nonconstruction. The surgical technique, complications and postoperative results are reviewed. Using a team appriach and careful suurgical technique, no serious complication have been encountered.
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KEYWORD
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