Morphometric study of the scapular free flap and the free rib osteomyocutaneous flap
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Morphometric study of the scapular free flap and the free rib osteomyocutaneous flap. / Sönmez, Tolga Taha; Prescher, Andreas; Kanatas, Anastasios; Zaker Shahrak, Arash; Gerressen, Marcus; Knobe, Matthias; Altuntas, Selman Hakki; Modabber, Ali; Steiner, Timm Walter; Smeets, Ralf; Ghassemi, Alireza; Hölzle, Frank.
in: BRIT J ORAL MAX SURG, Jahrgang 52, Nr. 4, 01.04.2014, S. 344-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Morphometric study of the scapular free flap and the free rib osteomyocutaneous flap
AU - Sönmez, Tolga Taha
AU - Prescher, Andreas
AU - Kanatas, Anastasios
AU - Zaker Shahrak, Arash
AU - Gerressen, Marcus
AU - Knobe, Matthias
AU - Altuntas, Selman Hakki
AU - Modabber, Ali
AU - Steiner, Timm Walter
AU - Smeets, Ralf
AU - Ghassemi, Alireza
AU - Hölzle, Frank
N1 - Copyright © 2014 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
PY - 2014/4/1
Y1 - 2014/4/1
N2 - The scapula free flap is often the first choice for reconstruction of bony defects of the facial skeleton. However, the vascularised rib as part of a free rib osteomyocutaneous flap may be a suitable second choice. We have investigated the morphology and clinical dimensions of the 7th rib and the scapula, and the ability of the available bone to carry dental implants. The age and sex of the cadaver, and the donor side, were also recorded. The dimensions of the scapulas and 7th ribs (n=130 of each) from 65 cadavers were measured at 4 different points using osteometric methods. Examination showed that bone from the scapula and 7th rib were sufficient for placement of implants. The 7th rib gave reliable measurements for both height and width, and a consistent relation between compact and cancellous bone. Although the scapula provided adequate compact and cancellous bone, there were variations depending on the segment of bone chosen. Bones from male cadavers were more suitable for implantation. In both the scapula and the 7th rib ageing had a significant adverse effect in only one dimension. Most points of measurement have satisfactory bony dimensions for insertion of dental implants.
AB - The scapula free flap is often the first choice for reconstruction of bony defects of the facial skeleton. However, the vascularised rib as part of a free rib osteomyocutaneous flap may be a suitable second choice. We have investigated the morphology and clinical dimensions of the 7th rib and the scapula, and the ability of the available bone to carry dental implants. The age and sex of the cadaver, and the donor side, were also recorded. The dimensions of the scapulas and 7th ribs (n=130 of each) from 65 cadavers were measured at 4 different points using osteometric methods. Examination showed that bone from the scapula and 7th rib were sufficient for placement of implants. The 7th rib gave reliable measurements for both height and width, and a consistent relation between compact and cancellous bone. Although the scapula provided adequate compact and cancellous bone, there were variations depending on the segment of bone chosen. Bones from male cadavers were more suitable for implantation. In both the scapula and the 7th rib ageing had a significant adverse effect in only one dimension. Most points of measurement have satisfactory bony dimensions for insertion of dental implants.
KW - Anthropometry
KW - Bone Transplantation
KW - Cadaver
KW - Dental Implantation, Endosseous
KW - Dental Implants
KW - Female
KW - Free Tissue Flaps
KW - Humans
KW - Male
KW - Myocutaneous Flap
KW - Osseointegration
KW - Reconstructive Surgical Procedures
KW - Ribs
KW - Scapula
KW - Sex Factors
KW - Transplant Donor Site
U2 - 10.1016/j.bjoms.2014.01.005
DO - 10.1016/j.bjoms.2014.01.005
M3 - SCORING: Journal article
C2 - 24485051
VL - 52
SP - 344
EP - 349
JO - BRIT J ORAL MAX SURG
JF - BRIT J ORAL MAX SURG
SN - 0266-4356
IS - 4
ER -