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Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap

Defects of the frontal bone require thoughtful consideration of reconstructive material to satisfy the aesthetic and functional demands of the region, as well as the anatomic adjacency to the frontal sinus. Some cases may be further complicated by a suboptimal operative field due to prior radiation,...

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Autores principales: Baudoin, Morgan E., Palines, Patrick A., Stalder, Mark W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594656/
https://www.ncbi.nlm.nih.gov/pubmed/34796087
http://dx.doi.org/10.1097/GOX.0000000000003934
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author Baudoin, Morgan E.
Palines, Patrick A.
Stalder, Mark W.
author_facet Baudoin, Morgan E.
Palines, Patrick A.
Stalder, Mark W.
author_sort Baudoin, Morgan E.
collection PubMed
description Defects of the frontal bone require thoughtful consideration of reconstructive material to satisfy the aesthetic and functional demands of the region, as well as the anatomic adjacency to the frontal sinus. Some cases may be further complicated by a suboptimal operative field due to prior radiation, reconstructive procedures, or infection. Vascularized bone offers an ideal option to successfully reconstruct bony defects in harsh wound beds. Here, we report the case of a 47-year-old man with adenoid cystic carcinoma who underwent secondary reconstruction of the frontal bone with a split-iliac crest bone flap based on the deep circumflex iliac artery. The patient’s course following an initial ablative procedure was complicated by recurrent periorbital cellulitis, radiation, and eventual recurrence of the malignancy. Reconstructive requirements included restoration of the superior orbital rim, cranialization of the frontal sinus, and reconstruction of a sizeable frontal bone defect. In this setting, the iliac crest served as an excellent reconstructive option owing to its natural curvature and large surface area. The split-iliac crest deep circumflex iliac artery bone flap offers a robust and valuable reconstructive option for calvarial defects in hostile surgical fields.
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spelling pubmed-85946562021-11-17 Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap Baudoin, Morgan E. Palines, Patrick A. Stalder, Mark W. Plast Reconstr Surg Glob Open Reconstructive Defects of the frontal bone require thoughtful consideration of reconstructive material to satisfy the aesthetic and functional demands of the region, as well as the anatomic adjacency to the frontal sinus. Some cases may be further complicated by a suboptimal operative field due to prior radiation, reconstructive procedures, or infection. Vascularized bone offers an ideal option to successfully reconstruct bony defects in harsh wound beds. Here, we report the case of a 47-year-old man with adenoid cystic carcinoma who underwent secondary reconstruction of the frontal bone with a split-iliac crest bone flap based on the deep circumflex iliac artery. The patient’s course following an initial ablative procedure was complicated by recurrent periorbital cellulitis, radiation, and eventual recurrence of the malignancy. Reconstructive requirements included restoration of the superior orbital rim, cranialization of the frontal sinus, and reconstruction of a sizeable frontal bone defect. In this setting, the iliac crest served as an excellent reconstructive option owing to its natural curvature and large surface area. The split-iliac crest deep circumflex iliac artery bone flap offers a robust and valuable reconstructive option for calvarial defects in hostile surgical fields. Lippincott Williams & Wilkins 2021-11-16 /pmc/articles/PMC8594656/ /pubmed/34796087 http://dx.doi.org/10.1097/GOX.0000000000003934 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Reconstructive
Baudoin, Morgan E.
Palines, Patrick A.
Stalder, Mark W.
Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap
title Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap
title_full Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap
title_fullStr Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap
title_full_unstemmed Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap
title_short Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap
title_sort frontal cranioplasty with vascularized split-iliac crest bone flap
topic Reconstructive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594656/
https://www.ncbi.nlm.nih.gov/pubmed/34796087
http://dx.doi.org/10.1097/GOX.0000000000003934
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