Split-thickness bone grafts in complex craniofacial reconstructions

James T. Goodrich, Ravelo Argamaso, Craig D. Hall

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


We have operated on 20 patients with various forms of complex skull defects due either to trauma, tumor, or craniofacial problems. These cases have required complex reconstruction of defects involving the calvarium and anterior skull base. We review here our techniques of using locally harvested split- thickness calvarium bone grafts in the reconstruction of complex face and anterior fossa defects, secondary to tumor, trauma and craniofacial problems. With these harvesting techniques sufficient bone becomes available for large reconstructions, with minimum morbidity to the patient. The aesthetic results are excellent allowing for good facial and forehead contouring with minimal risk to the patient. In the case of traumatic injuries the surgery can also be performed early with the risk of infection being markedly reduced. Long-term results with split-thickness calvarial grafts have shown less bone resorption when compared with rib grafts.

Original languageEnglish (US)
Pages (from-to)195-201
Number of pages7
JournalPediatric neurosurgery
Issue number4
StatePublished - 1992


  • Craniofacial
  • Split-thickness bone graft
  • Trauma
  • Tumor

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Clinical Neurology


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