Moulding the Craniofacial Skeleton with a Paste of Concentrated Fibrin and Bone Dust
After osteotomies and reconstruction of the cranium and facial skeleton, irregularities or smaller or larger defects remain on the bony surface. Owing to bone absorption, these defects in contours can be exacerbated and become more visible over the years. For these reasons it is of great importance to smooth the bone surface before closing the skin flap. Over many years we have had very positive experience with the use of a sort of paste made of bone dust mixed with highly concentrated fibrin (Tissucol) [1, 2]. The bone dust is obtained from bur holes made during craniotomy.