Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap

Summary:. 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...

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Autores principales:	Morgan E. Baudoin, BS, Patrick A. Palines, MD, Mark W. Stalder, MD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/25d6dd4bd42547eea8a173f6842850d9
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spelling	oai:doaj.org-article:25d6dd4bd42547eea8a173f6842850d92021-11-25T07:58:04ZFrontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap2169-757410.1097/GOX.0000000000003934https://doaj.org/article/25d6dd4bd42547eea8a173f6842850d92021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003934https://doaj.org/toc/2169-7574Summary:. 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.Morgan E. Baudoin, BSPatrick A. Palines, MDMark W. Stalder, MDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3934 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Morgan E. Baudoin, BS Patrick A. Palines, MD Mark W. Stalder, MD Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap
description	Summary:. 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.
format	article
author	Morgan E. Baudoin, BS Patrick A. Palines, MD Mark W. Stalder, MD
author_facet	Morgan E. Baudoin, BS Patrick A. Palines, MD Mark W. Stalder, MD
author_sort	Morgan E. Baudoin, BS
title	Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap
title_short	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_sort	frontal cranioplasty with vascularized split-iliac crest bone flap
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/25d6dd4bd42547eea8a173f6842850d9
work_keys_str_mv	AT morganebaudoinbs frontalcranioplastywithvascularizedsplitiliaccrestboneflap AT patrickapalinesmd frontalcranioplastywithvascularizedsplitiliaccrestboneflap AT markwstaldermd frontalcranioplastywithvascularizedsplitiliaccrestboneflap
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Frontal Cranioplasty with Vascularized Split-iliac Crest Bone Flap

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