Morphometric study of the scapular free flap and the free rib osteomyocutaneous flap

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 -