Vascularized Outer-Table Calvarial Bone Flaps

Psillakis, Jorge M.; Grotting, James C.; Casanova, Rafael; Cavalcante, David; Vásconez, Luis O.

doi:10.1097/00006534-198609000-00005

Cited by 90 publications

(26 citation statements)

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“…The average thickness of parietal bone in our study was thicker than those reported by Psillakis et al (1986) and Jung et al However it was closer to that determined by Sullivan & Smith -6,4 ± 1.8 mm. Although Pensler & McCarthy have reported differences in thickness associated with sex, such association was not found in the current study nor in other studies retrieved from the literature Hwang et al, 2000;de Souza Fernandes et al).…”

Section: Fernandes a C S ; Costa R S And Moraes Msupporting

confidence: 85%

Potential Donor Sites of the Parietal for Bone Grafting and its Relationship to the Cephalic Index

2017

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M. Potential donor sites of the parietal for bone grafting and its relationship to the cephalic index. Int. J. Morphol., 35(3):986-991, 2017. SUMMARY:The purpose of the present study was to chart the thickness of the parietal bone and establish its relationship with the cephalic index and sex aiming at improving current knowledge and guidance for obtaining calvarial bone auto-graft material. Both left and right parietal bones of 150 skulls of adult human cadavers classified as either dolicho-, meso-, or brachicephalic, and as either male or female had their thickness measured at 3 levels -superior (S), middle (M) and inferior (I) -and at 3 points -anterior (a), middle (m) and posterior (p) -in each level, all evenly laid out. No relevant differences in thickness whether comparing sex or cephalic index was evidenced. The thickest measurements were found at points located at superior and middle levels in middle and posterior positioning -Sm, Sp, Mm and Mp -with median values ranging from about 5.5mm to 7.13mm. At inferior level and posterior positioning, thickness median values ranged from 4.71 to 5.84mm. Safer harvesting of bone graft material occurs in Sm, Sp, Mm and Mp areas of the parietal bone. Only exceptionally should Ip domain be used, whereas Sa, Ia and Im regions should be considered non-donor sites.

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Section: Fernandes a C S ; Costa R S And Moraes Msupporting

confidence: 85%

Potential Donor Sites of the Parietal for Bone Grafting and its Relationship to the Cephalic Index

2017

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“…The use of vascularized calvarial bone flaps in craniofacial reconstruction has been well documented in the literature (Jackson et al, 1986;Psillakis et al, 1986;Musolas et al, 1991;de Magalhaes et al, 1998). Other reconstructive options such as the use of free grafts either from the rib or the skull and the use of synthetic materials are available.…”

Section: Discussionmentioning

confidence: 99%

“…Different layers of the scalp can be used as carriers for the vessel. Psillakis et al (1986) have demonstrated that the calvaria can survive when a random pattern flap from the innominate fascia is used as a carrier. The inclusion of the superficial temporal vessels with the galeal bone flap would enhance its blood supply.…”

Section: Article In Pressmentioning

confidence: 99%

“…Free grafts are simple but in many cases may be partially resorbed. Vascularized calvarial bone is increasingly being used for craniofacial reconstruction (Jackson et al, 1986;Psillakis et al, 1986;Musolas et al, 1991;de Magalhaes et al, 1998). There have been several anatomical studies on the blood supply of the calvaria with the intention of its transfer Tolhurst et al, 1991).…”

Section: Introductionmentioning

confidence: 99%

“…The latter is preferred because it shows less donor site morbidity. Psillakis et al (1986) described a method of transferring vascularized outer-table calvarial bone grafts pedicled on the innominate fascia as a random flap. The inclusion of the superficial temporal vessel in the pedicle will enhance the vascularity of the bone graft and permit harvesting of larger grafts, and also the harvest of full-thickness bone from the calvaria (Musolas et al, 1991).…”

Section: Introductionmentioning

confidence: 99%

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