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Facial Contouring With Outer-Table Calvarial BoneA 4-Year Experience
Nelson B. Powell, MD;
Robert W. Riley, MD
Arch Otolaryngol Head Neck Surg. 1989;115(12):1454-1458.
Abstract
• The long-term fate of outer table calvarial bone has not been previously well established in terms of graft resorption and resultant contour in the face. A 4-year experience is presented with an emphasis on these areas. Eight hundred fifty grafts were placed in the face on 170 patients during this study period. A subgroup consisting of the nasal region was selected for a detailed analysis, since this complex could be readily evaluated, and the results have paralleled the remaining group. Although partial resorption is seen at most sites, ranging from insignificant to 30%, excellent contour has been achieved throughout the face and maintained in all but a few cases. The areas of maximum resorption and contour change were seen at the nasal dorsum and lateral posterior mandible.
(Arch Otolaryngol Head Neck Surg. 1989;115:1454-1458)
Footnotes
Accepted for publication July 21, 1989.
Drs Powell and Riley are in private practice in Palo Alto, Calif.
Presented at the 91st annual meeting of the American Laryngological Rhinological and Otological Society Inc, Palm Beach, Fla, April 28, 1988.
Reprint requests to 750 Welch Rd, Suite 317, Palo Alto, CA 94304 (Dr Powell).
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