Use of diced bone grafts wrapped in surgicel in the augmentation of maxillofacial area

J Craniofac Surg. 2008 Nov;19(6):1440-5. doi: 10.1097/SCS.0b013e31818973fc.

Abstract

The correction of asymmetry in craniomaxillofacial region presents many problems for reconstructive surgeons. For this purpose, varieties of different materials and techniques have been used. We present our experience with diced bone graft wrapped in Surgicel applied to 5 patients with facial atrophy due to various causes between the years 2005 and 2008. The average follow-up period was 18 months (range, 9-25 months). All bone grafts were diced into small pieces with a maximum size of 2 to 3 mm using a costotome. The smaller bone grafts were prepared according to the technique described by Erol (Plast Reconstr Surg. 2000;105:2229-2241) for cartilage grafts. Results of the patients' satisfaction were well. Wrapping bone grafts in Surgicel holds them together. Thus, it becomes easier to adapt the diced bone grafts to the area to be augmented. Molding of diced bone grafts wrapped in Surgicel in accordance with the three-dimensional structure of the face with gentle movements after adaptation is an important advantage, which classical bone grafts do not have. In the later periods, collagen-enhancing effect of Surgicel not only prevents the bone grafts' being noticed, but also softens its consistency. This in turn facilitates adaptation of bone grafts to the facial area.

Publication types

  • Case Reports

MeSH terms

  • Adaptation, Physiological / physiology
  • Adult
  • Bone Transplantation / methods*
  • Cartilage / transplantation
  • Cellulose, Oxidized / therapeutic use*
  • Cleft Lip / surgery
  • Cleft Palate / surgery
  • Facial Bones / surgery*
  • Facial Hemiatrophy / surgery
  • Female
  • Follow-Up Studies
  • Hemostatics / therapeutic use*
  • Humans
  • Lipodystrophy / surgery
  • Male
  • Maxilla / surgery
  • Maxillofacial Injuries / surgery
  • Patient Satisfaction
  • Reconstructive Surgical Procedures / methods
  • Tissue and Organ Harvesting / methods
  • Young Adult
  • Zygoma / surgery

Substances

  • Cellulose, Oxidized
  • Hemostatics
  • Surgicel