[Cranial-bone grafting under local anesthesia]. / Prélèvement crânien sous anesthésie locale.

Autogenous bone remains the gold standard for preimplant bone-grafting procedure. When important volumes must be grafted with cancellous bone, the calvarial-harvesting site must still be considered, due to the quality of this membranous bone and the safety of the procedure if the surgeon is experimented. To simplify the procedure, the author proposes calvarial-bone harvesting under local anesthesia with a mini-bone plane. This technique remains very comfortable for the patient and also safe because of the almost complete preservation of the outer calvarial table.

[Vertical alveolar distraction osteogenesis of the posterior edentulous mandible: a case report]. / Distraction alvéolaire des secteurs postérieurs mandibulaires: à propos d'un cas clinique.

When it is necessary to increase the vertical height of the residual alveolar ridge, alveolar distraction osteogenesis has numerous advantages compared to other preprosthetic surgical procedures. It is frequently used for this purpose in the anterior region because of the obvious accessibility. The authors present a clinical case of edentulous posterior mandible, with insufficient vertical alveolar bone height, treated by alveolar distraction osteogenesis leading to three titanium fixtures. They explain their choice and discuss the preliminary results.

[Vascularized bone grafts in the treatment of hemifacial microsomia]. / Apports osseux microchirurgicaux et microsomie hémifaciale.

A systematic and theoretic review is performed on the vascularised bone donor sites that may be useful in the case of hemifacial microsomia. A review of the literature reveals that the iliac crest and the scapula are the most commonly used vascularised bone grafts. A case study is included in the paper, showing an hemifacial microsomia reconstruction using a composite fibular vascularised bone graft. They highlight the criterias they think fundamental for choosing the vascularised bone graft donor site regarding the aims of the reconstruction of a Pruzansky grade II or III.

[The craniofacial architectural factors predisposing to a skeletal Class II identified by Jean Delaire's architectural analysis]. / Facteurs architecturaux cranio-faciaux prédisposant à la classe II squelettique isolés par l'analyse architecturale de Jean Delaire.

The current state-of-the-art medical practice involves considering treatment both in terms of symptomatology and etiology. In the case of dento-facial deformities, treatment and prognosis must deal both with constitutional and functional anomalies. Most accurate diagnosis can be achieved using Jean Delaire's architectural cephalometric analysis. We illustrate the usefulness of this system using examples of class II skeletal malocclusions. Class II cranial malocclusion factors appear to be difficult to treat successfully. Maxillary and mandibular functional and constitutional anomalies are described. Functional deformities such as anterior rotation of the maxilla or posterior rotation of the mandibular ramus, can be successfully treated with early orthopedic care. Constitutional anomalies, such as excess length of the premaxilla or maxillary vertical excess, should frequently be treated in a combined orthodontic-surgical sequence as orthopedic care alone is ineffective. This explains the usefulness of Jean Delaire's architectural approach to obtain stable results in the treatment of maxillo-mandibular deformities.