Morphometric study of the scapular free flap and the free rib osteomyocutaneous flap |
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| Authors: | Tolga Taha Sö nmez,Andreas Prescher,Anastasios Kanatas,Arash Zaker Shahrak,Marcus Gerressen,Matthias Knobe,Selman Hakki Altuntas,Ali Modabber,Timm Walter Steiner,Ralf Smeets,Alireza Ghassemi,Frank Hö lzle |
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| Affiliation: | 1. Department of Oral and Maxillofacial Surgery, Medical Faculty, RWTH Aachen University, Aachen, Germany;2. Institute of Molecular and Cellular Anatomy, Prosection, Medical Faculty, RWTH Aachen University, Aachen, Germany;3. Department of Oral and Maxillofacial Surgery, Leeds Teaching Hospitals and St James Institute of Oncology, Leeds Dental Institute, Leeds, United Kingdom;4. Department of Oral and Maxillofacial Surgery, Heinrich-Braun-Hospital, Location Zwickau, Zwickau, Germany;5. Department of Orthopedic and Trauma Surgery, Medical Faculty, RWTH Aachen University, Aachen, Germany;6. Department of Plastic Reconstructive and Aesthetic Surgery, Medical Faculty, Süleyman Demirel University School of Medicine, Isparta, Turkey;g Department of Oral and Maxillofacial Surgery, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany |
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| Abstract: | 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. |
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| Keywords: | Scapula Rib Oral and maxillofacial implant-carrying bone reconstruction Morphometric and morphological bone measurements |
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