Fibular Dimensions for Mandibular Reconstruction among Filipinos

Authors

  • Nikkoh P. Muñoz Department of Otorhinolaryngology Head and Neck Surgery The Medical City Ortigas Avenue, Pasig City
  • Adrian F. Fernando Department of Otorhinolaryngology Head and Neck Surgery The Medical City Ortigas Avenue, Pasig City
  • Samantha S. Castañeda Department of Otorhinolaryngology-Head and Neck Surgery, The Medical City; Ateneo School of Medicine and Public Health Ortigas Avenue, Pasig City

DOI:

https://doi.org/10.32412/pjohns.v32i1.173

Keywords:

Mandibular reconstruction, Fibula, Free Flaps, Fibular bone dimensions, Filipino

Abstract

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

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Published

2018-11-05

How to Cite

1.
Muñoz NP, Fernando AF, Castañeda SS. Fibular Dimensions for Mandibular Reconstruction among Filipinos. Philipp J Otolaryngol Head Neck Surg [Internet]. 2018 Nov. 5 [cited 2023 Feb. 6];32(1):2. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/173

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