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Split Calvarial Grafting for Closure of Large Cranial Defects: The Ideal Option?

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Among the various cranioplasty options for reconstruction of large post-craniectomy defects, split calvarial grafting offers numerous significant advantages such as the provision of viable autogenous bone graft material comprising of… Click to show full abstract

Among the various cranioplasty options for reconstruction of large post-craniectomy defects, split calvarial grafting offers numerous significant advantages such as the provision of viable autogenous bone graft material comprising of living, immunocompatible bony cells that integrate fully with the skull bone bordering the cranial defect. Its potential for revascularization and subsequent integration and consolidation allows its successful use even in previously infected or otherwise compromised recipient sites. Its excellent contour match at the recipient site and low cost as compared to various alloplastic implant materials often makes it preferable to the latter. Surgeon’s skill, dexterity, expertise and experience are important factors to be considered in this highly technique-sensitive procedure.

Keywords: calvarial grafting; split calvarial; grafting closure; large cranial; closure large; cranial defects

Journal Title: Journal of Maxillofacial and Oral Surgery
Year Published: 2019

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