Abstract

Predictable hard tissue reconstruction is based on osteogenesis derived from osteocompetent cellular transplantation. Its survival, bone formation and long term bone maintenance is dependent on a cellular and vascular host tissue often requiring either myocutaneous flaps of hyperbaric oxygen to obtain. The correct application of bone regeneration biology principles and viable vascular soft tissue can predictably produce bony reconstructions with endosteal and periosteal systems of bone remodeling and maintenance. Bone Cell Biology Two phased bone regeneration Osteogenesis Osteoconduction Osteoinduction Cellular survival and bone cell storage Tissue Preparations Surgical preparation of tissue bed Hyperbaric oxygen Myocutaneous flaps Pectoralis Major Lattisimus Dorsi Trapezius Sternocleidomastoid Walk-up flap Bi-pedicled neck flap

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