Fibular Dimensions for Mandibular Reconstruction among Filipinos

Objective: To determine if the anatomic dimensions (length, cross-sectional width, cortical             thickness) of the Filipino fibula are ideal for mandibular reconstruction. Method: Design:           Cross-sectional study Setting:           Anatomy dissection laboratory Patients...

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Bibliographic Details
Main Authors: Nikkoh P. Muñoz, Adrian F. Fernando, Samantha S. Castañeda
Format: Article
Language:English
Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2018-11-01
Series:Philippine Journal of Otolaryngology Head and Neck Surgery
Subjects:
Online Access:https://pjohns.pso-hns.org/index.php/pjohns/article/view/173
Description
Summary:Objective: To determine if the anatomic dimensions (length, cross-sectional width, cortical             thickness) of the Filipino fibula are ideal for mandibular reconstruction. Method: Design:           Cross-sectional study Setting:           Anatomy dissection laboratory Patients:         40 fibulas from 20 adult cadavers Results: Morphometric examination showed the mean length of the harvested fibulas was 33.5 cm. The mean horizontal (a-d) and vertical (b-c) widths of the proximal cross-section (point B) were 15.1 ± 0.28 mm and 9.9 ± 0.15 mm respectively. The mean horizontal (a-d) and vertical (b-c) widths of the distal cross-section (point D) were 15.4 ± 0.24 mm and 10.3 ± 0.49 mm respectively. The mean cortical thickness of the anterior (a), lateral (b), posterior (c) and medial (d) aspects of the proximal cross-section (point B) were 5.2 ± 0.1 mm, 3.2 ± 0.04 mm, 3.6 ± 0.01 mm, and 2.9 ± 0.06 mm respectively. The mean cortical thickness of the anterior (a), lateral (b), posterior (c) and medial (d) aspects of the distal cross-section (point D) were 5.1 ± 0.21 mm, 3.1 ± 0.11 mm, 3.5 ± 0.04 mm, and 2.9 ± 0.09 mm respectively. Conclusion: Our findings show that the Filipino fibulas studied have dimensions that are ideal for mandibular reconstruction. Keywords: Mandibular reconstruction, Fibula, Free Flaps, Fibular bone dimensions, Filipino
ISSN:1908-4889
2094-1501