Cranioplasty Using Pericranial flap and Split-Rib Graft: Case Report.
- Author:
Hyo Seok SEO
1
;
Sang Won SEO
;
Choong Hyun CHANG
;
Min Gu KANG
Author Information
1. Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. kmgu@paran.com
- Publication Type:Case Report
- Keywords:
Rib bone graft;
Galeal flap
- MeSH:
Adult;
Automobiles;
Brain;
Congenital Abnormalities;
Follow-Up Studies;
Frontal Bone;
Hematoma;
Humans;
Male;
Skull;
Transplants
- From:Journal of the Korean Cleft Palate-Craniofacial Association
2008;9(2):81-84
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The goals of cranioplasty are to protect the brain from trauma and restore normal cranial contour with as few complication as possible. In patient who suffered from cranial defect, the most satisfactory form of cranioplasty may be archived with autogenous bone grafts. We report on the treatment of large frontal bone defect using pericranial flap and split-rib graft. METHODS: A 29-year-old male was referred to our department. He was involved in an automobile accident resulting in large frontal bone and sinus defect and skull basal defect. The reconstruction was undertaken using galeal frontalis myofascial flap and split-rib cranioplasty using bicoronal incision. RESULTS: The postoperative course was successful. For 9 months follow up period, there was no complication about hematoma, infection, CSF leakage and washboard deformity. He was pleased with the results even when absolute symmetry was not achieved. CONCLUSION: We experienced large frontal bone and sinus defect and skull basal defect patient and successfully treated with split-rib graft and galeal frontalis myofascial flap.
