The Temporalis Myo-Osseous Flap

117: The Effects of Non-Vascularized Versus Vascularized Bone Grafting on Calvarial Defect Healing

“…Previous studies have shown acellular marrow and empty lacunae in early N-V bone graft healing compared with osteocytes and cellular marrow within VAS grafts. 37 Our results did not show any differences in BMC between the N-V and VAS bone grafts as healing progressed through 6 and 12 weeks postoperatively. The N-V bone grafts, although acellular, may provide a scaffold for early bone healing and ingrowth of blood vessels.…”

Anatomy of the temporalis fascia

“…It has been shown in animal and cadaver experiments that a parietal bone graft can be lifted on a temporalis muscle (Antonyshyn et al, 1986) or fascial pedicle (McCarthy, 1986) and rotated for use in reconstructing the mandible (Antonyshyn et al, 1986).…”

Reconstruction of complex defects with composite calvarial flaps

“…Cutting and McCarthy reported that vascularized calvarial bone maintained its mass better than nonvascularized calvarial bone grafts [11]. Antonyshyn and coworkers demonstrated natural growth of vascularized cranial bone without growth inhibition in the recipient site of immature animals [12,13]. Furthermore, revascularized calvarial bone, having had a previously detached pedicle, retains its volume after transfer [14].…”