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12j Healed skin grafts 12 months after placement. The loss of a great volume of tissue makes the defect more pronounced though the surrounding soft tissues have healed well despite the life-threatening infection.  

12j Healed skin grafts 12 months after placement. The loss of a great volume of tissue makes the defect more pronounced though the surrounding soft tissues have healed well despite the life-threatening infection.  

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Dentofacial defects can be small or very large, consisting of defects in the craniomaxillofacial region with missing soft tissue, bony and other hard tissue components. Such combined mucosal, osseous and even cartilaginous defects can be reconstructed using flaps and bone grafts, or hopefully, in the future with bone graft substitutes or even tissu...

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This chapter explores the possible use of stem cells in the context of cleft lip and palate reconstruction. Cleft defects by their very nature are associated with missing tissue, whether it is bone, cartilage, muscle, mucosa, or skin and its adnexal structures. The chapter focuses on the reconstruction of cranio-maxillofacial bones formed by intramembranous ossification, in part to serve as a future stepping stone toward understanding the complex problems faced by long bones in the axial skeleton. To understand bone reconstruction, the surgeon must fully understand bone healing and the healing of the surrounding soft tissues. The chapter discusses the use of allogeneic, alloplastic materials and growth factors. The addition of pluripotent mesenchymal stem cells (MSCs) has the promise of reconstructing larger bone defects with predictable results. Adipose-derived adult MSCs may be useful in future bone regeneration and tissue engineering efforts using autogenous adipose-derived stem cells, growth factors, and resorbable.