Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Contribution of the Dura & the Pericranium in Absorption of Cranial Bone

두개골 흡수에 있어서 경막과 두개골막이 미치는 영향

  • Bae, Ick Hyun (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University) ;
  • Chung, Seung Moon (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University)
  • 배익현 (고신대학교 복음병원 성형외과학교실) ;
  • 정승문 (고신대학교 복음병원 성형외과학교실)
  • Received : 2005.06.01
  • Published : 2005.11.10
Download PDF
⟨ Previous Next ⟩

Abstract

Many craniofacial and neurosurgical procedures rely on cranial bone as a bone graft. In the majority of instances, the bone heals and gives good results. But we found that if either the dura or the pericranium were missing adjacent to the cranial bone, bone absorption would be increased. We studied a single animal model, investigating the contribution of the dura and the pericranium in the process of cranial bone absorption. The animals were divided into four groups of each five animals depending on the differential blockade of the dura and/or the pericranium by silastic sheet. Bilateral $100-mm^2$, parietal bone flaps were harvested from mature rabbits. Animals were humanely killed after 12 weeks, and histomorphometric analysis was performed. The volume maintenance is as follows; Group I; 89.0%, Group II; 80.0%, Group III; 63.3%, Group IV; 52.4%. The weight maintenance; Group I; 87.1%, Group II; 79.4%, Group III; 61.6%, Group IV; 51.1%. The histological contribution of living bone; Group I; 92.9%, Group II; 85.6%, Group III; 71.1%, Group IV; 56.2%. Significantly increased bone absorption occurred in Group II, III, IV compared with Group I. Conclusions are: 1. Cranial bone absorption is effected by both the dura and the pericranium. 2. The dura is more important than the pericranium in preventing cranial bone absorption. 3. The dura to be the source of central cranial bone and the pericranium to be the source of peripheral cranial bone.

Keywords

Acknowledgement

Supported by : 고신대학교

References

  1. Romana MC, Masquelet AC: Vascularzed periosteum associated with cancellous bone graft: An experimental study. Plast Reconstr Surg 85: 587, 1990 https://doi.org/10.1097/00006534-199004000-00014
  2. Thompson N, Casson JA: Experimental onlay bone grafts to the Jaws. A preliminary study in dogs. Plast Reconstr Surg 46: 341, 1970 https://doi.org/10.1097/00006534-197010000-00003
  3. Knize DM: The influence of periosteum and calcitonin on onlay bone graft survival. Roentgenographic study. Plast Reconstr Surg 53: 190, 1974 https://doi.org/10.1097/00006534-197402000-00011
  4. Hobar PC, Schriber JS, McCarthy JG, Thomas PA: The role of the dura in cranial bone regeneration in the immature animal. Plast Reconstr Surg 92: 405, 1993 https://doi.org/10.1097/00006534-199309000-00003
  5. Ray BS, Parsons H: The replacement of free bone plates in routine craniotomies. J Neurosurg 4: 299, 1947 https://doi.org/10.3171/jns.1947.4.4.0299
  6. Mabbutt LW, Kokich VG: Calvarial and sutural redevelopment following craniectomy in the neonatal rabbit. J Anat 129: 413, 1979
  7. Reid CA, McCarthy JG, Kolber AB: A study of regeneration in parietal bone defects in rabbits. Plast Reconstr Surg 67: 591, 1981 https://doi.org/10.1097/00006534-198105000-00002
  8. Puranen J: Reorganization of fresh and preserved bone transplants: An experimental study in rabbits using tetracycline labelling. Acta Orthop Sand Suppl 92: 1, 1966
  9. Hobar PC, Masson JA, Wilson R, Zerwekh J: The importance of the dura in craniofacial surgery. Plast Reconstr Surg 98: 217, 1996 https://doi.org/10.1097/00006534-199608000-00003
  10. Hopper RA, Zhang JR, Fournasier VL, Morova-Protzner I, Protzner KF, Pang CY, Forrest CR: Effect of isolation of periosteum and dura on the healing of rabitt calvarial inlay bone grafts. Plast Reconstr Surg 107: 454, 2001 https://doi.org/10.1097/00006534-200102000-00022
  11. Ozerdem OR, Anlatici R, Bahar T, Kayaselcuk F, Barutcu O, Tuncer L, Sen O: Roles of periosteum, dura, and adjacent bone on healing of cranial osteonecrosis. J Craniofac Surg 14: 371, 2003 https://doi.org/10.1097/00001665-200305000-00016
  12. Bruwell RG: Studies in the transplantation of bone VIII. Treated composite homograft-autografts of cancellous bone: an analysis of inductive mechanisms in bone transplantation. J Bone Joint Surg 48: 532, 1966
  13. Phemister DB: The fate of transplanted bone and regenerative power of its various constituents. Surg Gynecol Obstet 19: 303, 1914
  14. Smith JD, Abramson M: Membranous versus enchondral bone autografts. Arch Otolaryngol 99: 203, 1974 https://doi.org/10.1001/archotol.1974.00780030211011
  15. Gosain AK, Santoro TD, Song LS, Capel CC, Sudhakar PV, Matloub HS: Osteogenesis in calvarial defects: Contribution of the dura, the pericranium, and the surrounding bone in adult versus infant animals. Plast Reconstr Surg 112: 515, 2003 https://doi.org/10.1097/01.PRS.0000070728.56716.51