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Indications for Calvarial Bone Grafting

John L. Frodel, Jr, MD

Arch Otolaryngol Head Neck Surg. 1995;121(3):307-312.

Abstract
Objective
To demonstrate criteria for primary calvarial bone grafting in central facial fractures.

Design
Retrospective, cohort study.

Setting
University of Iowa Hospitals and Clinics (Iowa City) and The Johns Hopkins Hospital (Baltimore, Md).

Patients
Consecutive sample of 27 patients with nasoethmoidal fractures.

Intervention
Preoperative and intraoperative analysis with surgical intervention. Patients with the following criterion received primal dorsal calvarial bone grafts: loss of dorsal nasal support in the upper bony and lower cartilaginous dorsum.

Main Outcome Measure
Prevention of cicatricial softtissue contraction of the nose with primary bony dorsal reconstruction and/or nasal bone grafting.

Conclusion
In certain severe cases of nasal bony and cartilaginous comminution, primary dorsal nasal calvarial bone grafts are indicated.

(Arch Otolaryngol Head Neck Surg. 1995;121:307-312)

Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, The Johns Hopkins Medical Institutions, Baltimore, Md.

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