Midfacial Reconstruction Using Calvarial Split Bone Grafts

Abstract
Bony reconstruction of midfacial defects caused by ablative tumor surgery or trauma is of utmost importance for functional and esthetic restoration. The facial contour is determined by the underlying skeleton, and its restoration is a goal for a pleasing esthetic result postoperatively.1 Reconstruction of the orbital walls avoids diplopia, enophthalmos, and—in case of orbital roof augmentation—pulsatile exophthalmos.2,3 Autogenous bone grafts of the iliac crest, rib, and calvarium for skeletal reconstruction of the midface have been stated to be superior to alloplastic material.4

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