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While I shall briefly review the history of reparative skull surgery in this paper, my chief object is to emphasize the fact that nature, though not lavish in the bestowal of osteogenetic properties to the bones of the skull, has yet sufficiently endowed them with reparative power to establish complete restoration when encouraged by the favorable application of a suitable transplant. If our aim in reparative skull surgery is anatomic restoration, then there can be no choice of material; it must be living bone.
In a careful search of the literature (English, French and German) we find numerous references to autoplastic and heteroplastic operations, but very few on autogenous transplantation.
Seydel was probably the first to obtain osseous closure by implantation of bone taken from another part of the body. Tibial chips with periosteum intact were utilized as a transplant.
Röpke first suggested the desirability of selecting for a transplant,
KAHLE RR. USE OF AUTOGENOUS RIB GRAFT IN RECONSTRUCTIVE SKULL SURGERY. JAMA. 1915;LXV(3):222–223. doi:10.1001/jama.1915.02580030014005
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