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Digital measurements of 120 mandibular angles to determine the ideal fibula wedge osteotomy to re-create the mandibular angle for microvascular reconstruction.

Identifieur interne : 000356 ( PubMed/Corpus ); précédent : 000355; suivant : 000357

Digital measurements of 120 mandibular angles to determine the ideal fibula wedge osteotomy to re-create the mandibular angle for microvascular reconstruction.

Auteurs : Phillip Pirgousis ; Desmond Brown ; Rui Fernandes

Source :

RBID : pubmed:23945511

English descriptors

Abstract

Mandibular reconstruction continues to be a challenge, even for the seasoned reconstructive surgeon. The present study sought to determine the normal anatomic mandibular angle and to establish a predictable angle of resection for the fibula bone cut to re-create the neomandibular body-ascending ramus angle.

DOI: 10.1016/j.joms.2013.05.005
PubMed: 23945511

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pubmed:23945511

Le document en format XML

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<title xml:lang="en">Digital measurements of 120 mandibular angles to determine the ideal fibula wedge osteotomy to re-create the mandibular angle for microvascular reconstruction.</title>
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<name sortKey="Pirgousis, Phillip" sort="Pirgousis, Phillip" uniqKey="Pirgousis P" first="Phillip" last="Pirgousis">Phillip Pirgousis</name>
<affiliation>
<nlm:affiliation>Chief Resident, Department of Oral and Maxillofacial Surgery, Section of Head and Neck and Reconstructive Surgery, Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Florida College of Medicine, Jacksonville, FL. Electronic address: phillip.pirgousis@jax.ufl.edu.</nlm:affiliation>
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<name sortKey="Brown, Desmond" sort="Brown, Desmond" uniqKey="Brown D" first="Desmond" last="Brown">Desmond Brown</name>
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<author>
<name sortKey="Fernandes, Rui" sort="Fernandes, Rui" uniqKey="Fernandes R" first="Rui" last="Fernandes">Rui Fernandes</name>
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<title xml:lang="en">Digital measurements of 120 mandibular angles to determine the ideal fibula wedge osteotomy to re-create the mandibular angle for microvascular reconstruction.</title>
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<name sortKey="Pirgousis, Phillip" sort="Pirgousis, Phillip" uniqKey="Pirgousis P" first="Phillip" last="Pirgousis">Phillip Pirgousis</name>
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<nlm:affiliation>Chief Resident, Department of Oral and Maxillofacial Surgery, Section of Head and Neck and Reconstructive Surgery, Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Florida College of Medicine, Jacksonville, FL. Electronic address: phillip.pirgousis@jax.ufl.edu.</nlm:affiliation>
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<name sortKey="Brown, Desmond" sort="Brown, Desmond" uniqKey="Brown D" first="Desmond" last="Brown">Desmond Brown</name>
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<name sortKey="Fernandes, Rui" sort="Fernandes, Rui" uniqKey="Fernandes R" first="Rui" last="Fernandes">Rui Fernandes</name>
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<title level="j">Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</title>
<idno type="eISSN">1531-5053</idno>
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<term>Adult</term>
<term>Bone Transplantation (methods)</term>
<term>Dimensional Measurement Accuracy</term>
<term>Female</term>
<term>Fibula (surgery)</term>
<term>Fibula (transplantation)</term>
<term>Humans</term>
<term>Male</term>
<term>Mandible (anatomy & histology)</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Reconstruction (methods)</term>
<term>Oral Surgical Procedures (methods)</term>
<term>Osteotomy (methods)</term>
<term>Radiography, Dental, Digital</term>
<term>Reconstructive Surgical Procedures</term>
<term>Sex Factors</term>
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<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en">
<term>Mandible</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Bone Transplantation</term>
<term>Mandibular Reconstruction</term>
<term>Oral Surgical Procedures</term>
<term>Osteotomy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Fibula</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Fibula</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Dimensional Measurement Accuracy</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Radiography, Dental, Digital</term>
<term>Reconstructive Surgical Procedures</term>
<term>Sex Factors</term>
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<div type="abstract" xml:lang="en">Mandibular reconstruction continues to be a challenge, even for the seasoned reconstructive surgeon. The present study sought to determine the normal anatomic mandibular angle and to establish a predictable angle of resection for the fibula bone cut to re-create the neomandibular body-ascending ramus angle.</div>
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<DateCompleted>
<Year>2014</Year>
<Month>01</Month>
<Day>20</Day>
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<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
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<ISSN IssnType="Electronic">1531-5053</ISSN>
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<Volume>71</Volume>
<Issue>12</Issue>
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<Year>2013</Year>
<Month>Dec</Month>
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<Title>Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons</Title>
<ISOAbbreviation>J. Oral Maxillofac. Surg.</ISOAbbreviation>
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<ArticleTitle>Digital measurements of 120 mandibular angles to determine the ideal fibula wedge osteotomy to re-create the mandibular angle for microvascular reconstruction.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.joms.2013.05.005</ELocationID>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Mandibular reconstruction continues to be a challenge, even for the seasoned reconstructive surgeon. The present study sought to determine the normal anatomic mandibular angle and to establish a predictable angle of resection for the fibula bone cut to re-create the neomandibular body-ascending ramus angle.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A total of 30 random male and female panoramic radiographs were selected from our database. The selection criteria included age older than 21 years and a full or near total complement of teeth. The exclusion criteria were an edentulous mandible or maxilla, a history of trauma or maxillary or mandibular pathologic features, and age younger than 21 years. A total of 120 total measurements were performed. The angle measured was determined from a line coinciding with the posterior border of the ramus and the lower mandibular border. The measurements were taken from each side and from each gender group. The institutional review board of our institution approved the present study.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean female mandibular right angle was 122.62°, and the left was 124.59° (average, 123.61°). The mean male mandibular right angle was 122.66°, and the left was 124.2° (average, 123.43°). The mean and median values were very similar. A statistically significant difference was identified between the left and right sides but not between the genders. Given this information, one can calculate a wedge cut in the fibula of about 56° to re-create the mean mandibular angle.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This information can be used to make predictable fibula wedge closing osteotomies to re-create the normal mandibular ascending ramus body angle in a low-cost manner with the aid of an autoclavable metal wedge of 56°. This method would obviate the need for costly prefabricated guides.</AbstractText>
<CopyrightInformation>Published by Elsevier Inc.</CopyrightInformation>
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<Affiliation>Chief Resident, Department of Oral and Maxillofacial Surgery, Section of Head and Neck and Reconstructive Surgery, Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Florida College of Medicine, Jacksonville, FL. Electronic address: phillip.pirgousis@jax.ufl.edu.</Affiliation>
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<DescriptorName UI="D005360" MajorTopicYN="N">Fibula</DescriptorName>
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