Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 5 , Pages 368-373, July 2010

Bifocal transport osteogenesis for the reconstruction of adult calvarial defects: A new surgical technique

  • Gui-Youn Cho-Lee, MD

      Affiliations

    • Department of Oral and Maxillofacial Surgery (Head: Francisco J. Díaz-González -MD, DMD, PhD), University Hospital La Princesa-Madrid, c/Diego de León 62, 28006 Madrid, Spain
    • Corresponding Author InformationGui-Youn CHO-LEE, MD, Department of Oral & Maxillofacial Surgery, C/Grañón, 8. 1°-3, 28050 - Madrid, Spain. Tel.: +34 679627884; Fax: +34 915420184.
  • ,
  • Luis Naval-Gías, MD, DMD, PhD

      Affiliations

    • Department of Oral and Maxillofacial Surgery (Head: Francisco J. Díaz-González -MD, DMD, PhD), University Hospital La Princesa-Madrid, c/Diego de León 62, 28006 Madrid, Spain
  • ,
  • Raúl González-García, MD

      Affiliations

    • Department of Oral and Maxillofacial Surgery, University Hospital Infanta Cristina, Avenida de Elbas s/n, 06008 Badajoz, Spain
  • ,
  • Pedro Luis Martos-Díaz, MD

      Affiliations

    • Department of Oral and Maxillofacial Surgery, University Hospital Nuestra Señora de Candelaria, Carretera del Rosario, 145, 38009 Santa Cruz de Tenerife, Spain
  • ,
  • Mario Fernando Muñoz-Guerra, MD, PhD

      Affiliations

    • Department of Oral and Maxillofacial Surgery (Head: Francisco J. Díaz-González -MD, DMD, PhD), University Hospital La Princesa-Madrid, c/Diego de León 62, 28006 Madrid, Spain
  • ,
  • Jesús Sastre-Pérez, MD

      Affiliations

    • Department of Oral and Maxillofacial Surgery (Head: Francisco J. Díaz-González -MD, DMD, PhD), University Hospital La Princesa-Madrid, c/Diego de León 62, 28006 Madrid, Spain
  • ,
  • Francisco José Rodríguez-Campo, MD

      Affiliations

    • Department of Oral and Maxillofacial Surgery (Head: Francisco J. Díaz-González -MD, DMD, PhD), University Hospital La Princesa-Madrid, c/Diego de León 62, 28006 Madrid, Spain

Received 14 December 2008; accepted 5 October 2009. published online 11 November 2009.

Summary 

Calvarial defects are common problems in craniofacial surgery. They may be explained by surgical interventions, infectious processes, cranial trauma or congenital anomalies. Calvarial defects are particularly challenging because they do not heal spontaneously in humans older than 24 months.

The feasibility of using bifocal transport distraction osteogenesis to repair calvarial defects has been successfully evaluated in numerous experimental models. To our knowledge, it has not been used for the reconstruction of human skull defects.

We report the first case of human calvarial defect healed by transport distraction osteogenesis.

Keywords: double-step, transport osteogenesis, calvarial defect

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PII: S1010-5182(09)00172-3

doi:10.1016/j.jcms.2009.10.008

Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 5 , Pages 368-373, July 2010