학술논문

Reconstruction of Osteomyelitis Defects of the Craniofacial Skeleton
Document Type
Academic Journal
Source
Seminars in Plastic Surgery. May 01, 2009 23(2):119-131
Subject
Language
English
ISSN
1535-2188
Abstract
ABSTRACT: Osteomyelitis of the craniofacial skeleton closely resembles osteomyelitis elsewhere in the body in its pathophysiology and medical management; subsequent reconstruction after debridement remains distinctly challenging. The goals of reconstruction must include the restoration of the complex and readily visible morphology of the cranium and face, as well as the adequate return of vital sensory, expressive, and digestive functions. In this article, the various reconstructive modalities will be discussed including pedicled and nonpedicled flaps with or without an osseous component, nonvascularized bone grafts, alloplastic implants, and bone regeneration using protein therapy. Although reconstruction of craniofacial defects after osteomyelitis commonly proves formidable, the satisfactory return of form and function remains a plausible reconstructive goal.