Moulding the Craniofacial Skeleton with a Paste of Concentrated Fibrin and Bone Dust

  • Hans Anderl
  • Wolfgang Mühlbauer
  • Daniel Marchac


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.


Bone Surface Skin Flap Large Defect Plasma Clot Histological Sample 
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  1. 1.
    Matras H, Braun FR, Lassmann H, Ammerrer HP, Mamoli B (1973) Plasma clot welding of nerves (Experimental report) J Maxillofac Surg 4: 236–246CrossRefGoogle Scholar
  2. 2.
    Seelich T (1982) Tissucol: Biochemistry and methods of application. J Head Neck Pathol 3:65–69Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • Hans Anderl
    • 1
  • Wolfgang Mühlbauer
    • 2
  • Daniel Marchac
    • 3
  1. 1.InnsbruckAustria
  2. 2.MünchenGermany
  3. 3.ParisFrance

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