Semin Plast Surg 2010; 24(3): 255-261
DOI: 10.1055/s-0030-1263067
© Thieme Medical Publishers

Onlay Bone Grafts in Head and Neck Reconstruction

Sukru Yazar1
  • 1Department of Plastic and Reconstructive Surgery, Acibadem University Medical Faculty, Istanbul, Turkey
Further Information

Publication History

Publication Date:
20 August 2010 (online)

ABSTRACT

Bone grafts are used in a variety of clinical situations and can be divided into two categories: treatment of bone gaps (inlay bone grafting) and bone projection (onlay bone grafting). Cortical grafts are useful in situations requiring immediate mechanical strength. These grafts can survive with or without complete revascularization or resorption and are primarily used by plastic surgeons in the treatment of bone volume deficiency. Cancellous grafts, in contrast, have no mechanical strength and therefore require additional support to bridge bone defects. Thus, they are used primarily for the treatment of bone gaps and in general revascularize quickly, resorb completely, and stimulate significant new bone formation.

REFERENCES

  • 1 Lee W PA, Butler P EM. Transplant biology and applications to plastic surgery. In: Aston SJ, Beasley RW, Thorne CHM Grabb and Smith's Plastic Surgery. Philadelphia, PA; Lippincott–Raven 1997: 27
  • 2 Manson P N. Facial bone healing and bone grafts. A review of clinical physiology.  Clin Plast Surg. 1994;  21(3) 331-348
  • 3 Van Meekren J. Observation Medico Chirurgicae. Amstelodami; Ex Officina Henrici et Theodore Boom 1682
  • 4 Stratoudakis A C. Principles of bone transplantation. In: Georgiade GS, Riefkohl R, Levin LS Georgiade Plastic, Maxillofacial and Reconstructive Surgery. 3rd ed. Baltimore, MD; Williams & Wilkins 1997: 39
  • 5 Axhausen G. Histologische untersuchungen uber knochentransplantation am menschen.  Dtsch Z Chir. 1907;  91 388-428
  • 6 Axhausen G. Die histologischen und klinischen Gesetze der freien Osteoplastik auf Grund von Thierversuchen.  Arch Klin Chir. 1908;  88 23-78
  • 7 Cutting C B, McCarthy J G, Knize D M. Repair and grafting of bone. In: McCarthy JG McCarthy Plastic Surgery, General Principles, Vol. 1. Philadelphia, PA; WB Saunders 1990: 583
  • 8 Phemister D. The fate of transplanted bone and regenerative power of its various constituents.  Surg Gynecol Obstet. 1914;  19 303-333
  • 9 Baarth H. Histologische Untersuchengen uber Knochentransplantation.  Beitr Path Anat Allg Path. 1895;  17 65-142
  • 10 Urist M. Practical applications of basic research in bone graft physiology.  Instr Course Lect. 1976;  25 1-26
  • 11 Levander G. A study of bone regeneration.  Surg Gynecol Obstet. 1938;  67 705-714
  • 12 Hollinger J O, Seyfer A E. Bioactive factors and biosynthetic materials in bone grafting.  Clin Plast Surg. 1994;  21 415-418
  • 13 Chase S W, Herndon C H. The fate of autogenous and homogenous bone grafts.  J Bone Joint Surg Am. 1955;  37 809-841
  • 14 Deleu J, Trueta J. Vascularization of bone grafts in the anterior chamber of the eye.  J Bone Joint Surg Br. 1965;  47 319-329
  • 15 Kusiak J K, Zins J E, Ring E et al.. Early revascularization of membranous bone grafts.  Surg Forum. 1981;  32 567-568
  • 16 Burchardt H. Biology of bone transplantation.  Orthop Clin North Am. 1987;  18 187-196
  • 17 Enneking W F, Burchardt H, Puhl J J, Piotrowski G. Physical and biological aspects of repair in dog cortical-bone transplants.  J Bone Joint Surg Am. 1975;  57 237-252
  • 18 Burchardt H, Jones H, Glowczewskie F, Rudner C, Enneking W F. Freeze-dried allogeneic segmental cortical-bone grafts in dogs.  J Bone Joint Surg Am. 1978;  60 1082-1090
  • 19 Tessier P. Autogenous bone grafts taken from the calvarium for facial and cranial applications.  Clin Plast Surg. 1982;  9 531-538
  • 20 McCarthy J G, Kawamoto H, Grayson B H, Colen S R, Coccaro P J, Wood-Smith D. Surgery of the jaws. In: McCarthy JG McCarthy Plastic Surgery, The Face, Vol. 2. Philadelphia, PA; WB Saunders 1990: 1188
  • 21 Uhm K I, Hwang S H, Choi B G. Cleft lip nose correction with onlay calvarial bone graft and suture suspension in Oriental patients.  Plast Reconstr Surg. 2000;  105 499-503
  • 22 Neu B R. Segmental bone and cartilage reconstruction of major nasal dorsal defects.  Plast Reconstr Surg. 2000;  106 160-170
  • 23 Kazanjian V H. Jaw reconstruction.  Am J Surg. 1939;  43 249
  • 24 Kazanjian V H. Bone transplanting to the mandible.  Am J Surg. 1952;  83 633-639
  • 25 Kazanjian V H. Bilateral absence of the ascending rami of the mandible.  Br J Plast Surg. 1956;  9 77-82
  • 26 Thompson N, Casson J A. Experimental onlay bone grafts to the jaws. A preliminary study in dogs.  Plast Reconstr Surg. 1970;  46 341-349
  • 27 Zins J E, Whitaker L A. Membranous versus endochondral bone: implications for craniofacial reconstruction.  Plast Reconstr Surg. 1983;  72 778-785
  • 28 Smith J D, Abramson M. Membranous vs endochondrial bone autografts.  Arch Otolaryngol. 1974;  99 203-205
  • 29 Hardesty R A, Marsh J L. Craniofacial onlay bone grafting: a prospective evaluation of graft morphology, orientation, and embryonic origin.  Plast Reconstr Surg. 1990;  85 5-14 discussion 15
  • 30 Donovan M G, Dickerson N C, Hellstein J W, Hanson L J. Autologous calvarial and iliac onlay bone grafts in miniature swine.  J Oral Maxillofac Surg. 1993;  51 898-903
  • 31 Lin K Y, Bartlett S P, Yaremchuk M J, Fallon M, Grossman R F, Whitaker L A. The effect of rigid fixation on the survival of onlay bone grafts: an experimental study.  Plast Reconstr Surg. 1990;  86 449-456
  • 32 Chen N T, Glowacki J, Bucky L P, Hong H Z, Kim W K, Yaremchuk M J. The roles of revascularization and resorption on endurance of craniofacial onlay bone grafts in the rabbit.  Plast Reconstr Surg. 1994;  93 714-722 discussion 723-724
  • 33 Alonso N, Machado de Almeida O, Jorgetti V, Amarante M TJ. Cranial versus iliac onlay bone grafts in the facial skeleton: a macroscopic and histomorphometric study.  J Craniofac Surg. 1995;  6 113-118 discussion 119
  • 34 Phillips J H, Rahn B A. Fixation effects on membranous and endochondral onlay bone graft revascularization and bone deposition.  Plast Reconstr Surg. 1990;  85 891-897
  • 35 Peer L A. Fate of autogenous human bone grafts.  Br J Plast Surg. 1951;  3 233-243
  • 36 Whitaker L A. Biological boundaries: a concept in facial skeletal restructuring.  Clin Plast Surg. 1989;  16 1-10
  • 37 Habal M B. Bone grafting in craniofacial surgery.  Clin Plast Surg. 1994;  21 349-363
  • 38 Sheen J H. The ideal dorsal graft: a continuing quest.  Plast Reconstr Surg. 1998;  102 2490-2493
  • 39 Jackson I T, Choi H Y, Clay R et al.. Long-term follow-up of cranial bone graft in dorsal nasal augmentation.  Plast Reconstr Surg. 1998;  102 1869-1873
  • 40 Ozaki W, Buchman S R. Volume maintenance of onlay bone grafts in the craniofacial skeleton: micro-architecture versus embryologic origin.  Plast Reconstr Surg. 1998;  102 291-299
  • 41 Ozaki W, Buchman S R, Goldstein S A, Fyhrie D P. A comparative analysis of the microarchitecture of cortical membranous and cortical endochondral onlay bone grafts in the craniofacial skeleton.  Plast Reconstr Surg. 1999;  104 139-147
  • 42 Kline Jr R M, Wolfe S A. Complications associated with the harvesting of cranial bone grafts.  Plast Reconstr Surg. 1995;  95 5-13 discussion 14-20
  • 43 Longacre J J, DeStefano G A. Further observations of the behavior of autogenous split-rib grafts in reconstruction of extensive defects of the cranium and face.  Plast Reconstr Surg. 1957;  20 281-296
  • 44 Wolfe S A, Kawamoto H K. Taking the iliac bone graft.  J Bone Joint Surg Am. 1968;  60 411
  • 45 Crockford D A, Converse J M. The ilium as a source of bone grafts in children.  Plast Reconstr Surg. 1972;  50 270-274
  • 46 Reid R L. Hernia through an iliac bone-graft donor site. A case report.  J Bone Joint Surg Am. 1968;  50 757-760
  • 47 Lotem M, Maor P, Haimoff H, Woloch Y. Lumbar hernia at an iliac bone graft donor site. A case report.  Clin Orthop Relat Res. 1971;  80 130-132
  • 48 Longacre J J, Converse J M, Knize D M. Transplantation of bone. In: Converse JM Reconstructive Plastic Surgery. 2nd ed. Philadelphia, PA; WB Saunders 1977 Vol. 1: 334
  • 49 Massey E W. Meralgia paresthetica secondary to trauma of bone graft.  J Trauma. 1980;  20 342-343
  • 50 Reale F, Gambacorta D, Mencattini G. Iliac crest fracture after removal of two bone plugs for anterior cervical fusion. Case report.  J Neurosurg. 1979;  51 560-561
  • 51 Breine U, Johanson B. Tibia as donor area of bone grafts in infants. Influence on the longitudinal growth.  Acta Chir Scand. 1966;  131 230-235
  • 52 Wei F C, Seah C S, Tsai Y C, Liu S J, Tsai M S. Fibula osteoseptocutaneous flap for reconstruction of composite mandibular defects.  Plast Reconstr Surg. 1994;  93 294-304 discussion 305-306
  • 53 Hidalgo D A, Rekow A. A review of 60 consecutive fibula free flap mandible reconstructions.  Plast Reconstr Surg. 1995;  96 585-596 discussion 597-602
  • 54 McGrath M H, Watson H K. Late results with local bone graft donor sites in hand surgery.  J Hand Surg [Am]. 1981;  6 234-237
  • 55 Jacob C H, Berry J T, Pope M H et al.. A study of the bone machining process drilling.  J Biomech. 1976;  9 343-349
  • 56 Thompson H C. Effect of drilling into bone.  J Oral Surg (Chic). 1958;  16 22-30
  • 57 Marx R E, Snyder R M, Kline S N. Cellular survival of human marrow during placement of marrow-cancellous bone grafts.  J Oral Surg. 1979;  37 712-718

Sukru YazarM.D. 

Atakent Mah, Soyak Olympiakent Sitesi

E–14 Blok, D: 33, Kucukcekmece, Istanbul, Turkey

Email: sukruyazar@hotmail.com

    >