Plastic and Reconstructive Surgery, Global Open (May 2019)

Bone Transport Distraction Osteogenesis in the Reconstruction of Pediatric Posttraumatic Calvarial Defects

  • Tarek Elbanoby, MD,
  • Gaber M. Aly, MD,
  • Usama Abdelfattah, MD,
  • Jong-Woo Choi, MD, PhD, MMM,
  • Hollie A. Power, MD,
  • Yasser A. Abd El Fattah, MD

DOI
https://doi.org/10.1097/GOX.0000000000002201
Journal volume & issue
Vol. 7, no. 5
p. e2201

Abstract

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Summary:. Reconstruction of posttraumatic calvarial bone defects in pediatric patients is a challenge due to the growing brain and limited autogenous bone supply. Traditional techniques such as split calvarial and particulate bone grafts are associated with prolonged operative time and significant blood loss, which is a major concern in children under the age of 3 years. Bone transport distraction osteogenesis has proven efficacy and safety in the reconstruction of other craniofacial deformities. This procedure is less invasive and requires shorter operative times and hospital stay. We report our experience with 2 cases of bone transport distraction osteogenesis for the reconstruction of large posttraumatic calvarial defects in pediatric patients.