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PubMedDate not supplied

[Reconstruction of facial defects due to war injuries using vascularized pedicled galeal and parietal bone grafts].

Combat wounds are basically extensive and destructive. Such injuries cause defects of soft and bone structures of the face and neck. During primary surgical management of maxillofacial combat wounds the principle of minimal bone and soft tissue debridment was respected. Definitive reconstruction of the defect was performed after two or three months, when infection was cured and adjacent tissues were restituted. Each combat wound leaves behind fibrous changes in surrounding tissues. Success of the reconstructive procedures is more certain if flaps with its own blood supply are used, either arterial or vascularized grafts from the other parts of body (by microvascular technique). This paper presents our experiences with galeal flap in reconstruction of facial soft tissue defects, as well as galea, together with external table of parietal bone in reconstruction of soft and bony tissues of maxillofacial in 15 patients.

Humans↗
PubMed1982

Progressive bilateral thinning of the parietal bones.

Observation of a case of progressive bilateral parietal thinning within a period of 14 years induced us to study skull films of 3,636 consecutive patients. Parietal thinning was found in 86 patients (2.37%). It was more common in women, with a sex ratio of 1:1.9. The mean age of the females was 72 years, and that of the males 63 years. Previous skull films of 25 of these patients were available and showed progression in 10. It is concluded that parietal thinning is a slowly progressive disease of middle-aged and old patients and is not an anatomical variant or congenital dysplasia of the diploe.

Adult↗
PubMed1994

[The advantage of the autologous parietal bone graft in posttraumatic rhinoplasty].

Popularized by Tessier in 1982, the calvarial bone graft has been used extensively in reconstructive techniques in the cranio-facial region. The authors present here their experience of nasal bone grafting using split skull grafts for post-traumatic reconstructions. Ten patients, with a total of 11 bone grafts harvested, were operated. Results are reported. The level of patient satisfaction has been high. We have had only 2 minor complications, 1 case of alopecia, corrected by a resection in local anesthesia, this inconvenient has never reported before in the literature, and another case of secondary displacement of the nasal bone graft, who required a second operation with a good result. Discussion is reported. Several methods have been used for nasal reconstruction as silicone implants and other bone donor site; but they have disadvantages like painful to the donor site, long hospitalizations, infections and extrusions, etc. The use of cranial graft has some advantages: first of all, it is less likely to resorb, because of its membranous origin, the donor site is in close proximity to the area to be grafted, there is almost no morbidity to the donor site. Recently two case reports describing major complications were published in the literature. A case of a superior sagittal sinus laceration reported by Cannella and Hopkins and a case of an intracerebral hematoma, reported by Leroy-Young. For these reasons it's important to follow strictly the surgical procedure described. We recommended this technique only to those surgeons who are experienced in cranio-facial surgery.

Adult↗