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Jim Z. Cinberg, MD; Frank A. Rosenbaum, MD; Charles Lowrie, DVM; Mark Gorman, PhD

Arch Otolaryngol. 1985;111(7):434-436.

Abstract
• Access, pain, prolonged hospitalization, or inadequacy of consistency and quantity of a graft are drawbacks to traditional donor sites of autologous bone for reconstruction of severe midface trauma with bone loss. The sectioning of human skulls resulted in selection of the parietal bone as a technically feasible donor site for obtaining adequate autologous bone for the rehabilitation of generous defects in the floor of the orbit or the anterior maxillary wall. The examination of various animal skulls resulted in the selection of the large canine as an adequate experimental model to evaluate the technique. The parietal bone served as a harvest site, without morbidity, for autologous bone used to fill in the defects in the orbit and anterior malar wall in the live canine model. Subsequently, human autografts of outer cranial table parietal bone provided adequate material to repair severe floor of orbit and maxillary defects with minimal patient discomfort and donor site morbidity.

(Arch Otolaryngol 1985;111:434-436)

Author Affiliations
From the Department of Surgery (Dr Gorman) and the College of Veterinary Medicine (Dr Lowrie), Michigan State University, Lansing. Dr Rosenbaum is in private practice in Lansing. Dr Cinberg is now in private practice in Elizabeth, NJ.

Footnotes
Accepted for publication Dec 12, 1984.

Read before the American Academy of Facial Plastic and Reconstructive Surgery, Las Vegas, Sept 15, 1984.

Reprint requests to 654 E Jersey St, Suite 1B, Elizabeth, NJ 07206 (Dr Cinberg).

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