Complex midface reconstruction: maximizing contour and bone graft survival utilizing periosteal free flaps

Patrick Kelley, Michael J Klebuc, Larry Hollier

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Midfacial bone and soft tissue defects present a unique challenge because they require a complex arrangement of tissues in a relatively limited space. This may be difficult to achieve with free osteocutaneous flaps. The use of bone grafts allows greater flexibility in reconstruction but is limited by graft resorption. This is the report of midface reconstruction using a large iliac crest graft covered with a radial forearm free fascioperiosteal flap to augment graft survival. Histopathology and patient follow-up evaluation are presented demonstrating viable bone throughout the graft at biopsy 4 months postoperatively.

Original languageEnglish (US)
Number of pages1
JournalJournal of Craniofacial Surgery
Volume14
Issue number5
DOIs
StatePublished - Sep 2003

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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