Turkish Neurosurgery 2020 , Vol 30 , Num 1
Use of Muscle Graft Versus Fascia Flap as Interpositional Material in Prevention of Reossification in a Rat Model of Skull Bone Defect
Ayhan OKUMUS1,Erdem GUVEN1,Ismail ERMIS1,Vakur OLGAC2,Murat TOPALAN1,Metin ERER1
1Istanbul University Istanbul Faculty of Medicine, Department of Plastic Surgery, Istanbul, Turkey
2Istanbul University Oncology Institute, Division of Tumor Pathology, Istanbul, Turkey
DOI : 10.5137/1019-5149.JTN.26466-19.2 AIM: To investigate the utility of two different interpositional materials (muscle graft vs. fascia flap) for preventing the osseous reunion of skull bone defect including the coronal suture line in rats.

MATERIAL and METHODS: A total of 32 male Sprague-Dawley rats were divided into 2 groups (n=16 for each) after the formation of bilateral coronal bone defect, based on the interpositional materials used to prevent re-ossification; the rats were divided into the muscle graft (MG) group and the fascial flap (FF) group. In each group, the other side of the coronal suture served as the control. The rats were sacrificed at postoperative 4 weeks or 8 weeks for histopathological, radiological, and microbiologic investigations.

RESULTS: At postoperative 8 weeks, there was partial reunion in the defects with bony tissue in both the groups; no obvious differences were noted between the groups on radiological examination.The defect content involved bone and fibrous tissue in the MG group and bony bridges and loose connective tissue in the FF group. New bone formation was moderate, marked, and extreme and the reduction in defect size was marked, moderate, and extreme in the MG, FF, and control groups, respectively.

CONCLUSION: Our findings revealed that neither the temporal MG nor the temporal FF were able to achieve complete prevention of re-ossification of the skull bone defects including the coronal suture line; further, neither material was superior to the other. Keywords : Skull bone defects, Craniosynostosis, Muscle graft, Fascial flap, Rat

Corresponding author : Ayhan OKUMUS, ayhan@ayhanokumus.com.tr