RECONSTRUCTION OF THE FOREHEAD REGION WITH OUTER-TABLE CRANIAL BONE

Background: Calvarial bone graft is often used in reconstructive crani o-facial surgery. As most common three different forms can be distingu ished: outer-table bone, full thickness grafts and composite flaps (bo ne with a periostal or muscular pedicle). Patient and Method: An exten sive fibrous dysplasia of the frontal region was removed in a 26 years old patient. Reconstruction was carried out with alloplastic material achieving a goad esthetic result. Recurrent seroma and occurrence of a fistula demanded removal of the alloplastic material and en-bloc rec onstruction of the forehead region was accomplished with a parietal ou ter-table graft. Within a follow-up time of one year a good esthetic a nd stable reconstruction has been achieved. Conclusion: Split-thicknes s calvarial bone is still a versatile graft in reconstructive cranio-f acial surgery allowing a good esthetic reconstruction of the forehead region. Although a low rate of side effects in harvesting calvarial bo ne grafts are in general expected, one has to be aware of dural lesion s occuring in the donor site during craniotomy.