Tumescent local anaesthesia in dermatologic surgery performed under anticoagulant or antiagregant therapy

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.