September 1972

Repair of Skull Defects With Autogenous Bone

Author Affiliations

Gainesville, Fla
From the Division of Plastic Surgery, University of Florida, and the Gainesville (Fla) Veterans Administration Hospital, and the University of Texas Southwestern Medical School at Dallas (Dr. Salyer). Dr. Nickell is now with the University of Texas Southwestern Medical School at Dallas. Dr. Nickell is also with the Dallas VA Hospital. Dr. Jurkiewicz is now with Emory University, Atlanta.

Arch Surg. 1972;105(3):431-433. doi:10.1001/archsurg.1972.04180090036009

Twenty-two major skull reconstructions were done using autogenous rib or iliac bone. When bone from the rib was used, it was split and wired in place over a bony lip formed at the edge of the defect. Iliac crest was fitted as a keystone in an arch and fastened with wire. Functional results were perfect in all but two cases, and aesthetic results excellent in all but two. In each case, the unsatisfactory results were directly due to inattention to operative detail. There were no losses of grafts, and no significant infections. Autogenous bone to reconstruct the calvarium gives excellent aesthetic and functional results when the technique described is followed.