Journal article
Maxillary reconstruction using the scapular tip free flap: a radiologic comparison of 3D morphology
Head & neck, Vol.34(10), pp.1377-1382
10/2012
DOI: 10.1002/hed.21946
PMID: 22287228
Abstract
Scapular tip osteomyogenous free flaps have been described for complex palate reconstruction. Minimal osteotomies are needed because of the similar shapes of the scapula and palate. We compared the bony morphology of the palate and scapular tip to determine the suitability of the scapular tip for palate reconstruction.
We analyzed facial and chest CT images of 10 patients, comparing the morphology of 3 simulated palate resection specimens (total palate, subtotal palate, and hemipalate) with corresponding simulated scapular tip bone flaps from the same patient.
Conformance distances between palates and simulated flaps were small, indicating close shape similarity. Median conformance distances were 3.44 mm for hemipalatectomy, 3.56 mm for subtotal palatectomy, and 3.71 mm for total palatectomy. Six outlier observations accrued from 2 patients.
Based on this analysis, there is close similarity between the shapes of the palate and the scapular tip. This similarity supports use of the scapular tip flap for selected palate defects.
Details
- Title: Subtitle
- Maxillary reconstruction using the scapular tip free flap: a radiologic comparison of 3D morphology
- Creators
- Nitin A Pagedar - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa, USARalph W GilbertHarley ChanMichael J DalyJonathan C IrishJeffrey H Siewerdsen
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.34(10), pp.1377-1382
- Publisher
- United States
- DOI
- 10.1002/hed.21946
- PMID
- 22287228
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Grant note
- R01-127444 / PHS HHS
- Language
- English
- Date published
- 10/2012
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984007176702771
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