TY - JOUR AU - Muñoz, Nikkoh P. AU - Fernando, Adrian F. AU - Castañeda, Samantha S. PY - 2018/11/05 Y2 - 2024/03/28 TI - Fibular Dimensions for Mandibular Reconstruction among Filipinos JF - Philippine Journal of Otolaryngology Head and Neck Surgery JA - Philipp J Otolaryngol Head Neck Surg VL - 32 IS - 1 SE - Original Articles DO - 10.32412/pjohns.v32i1.173 UR - https://pjohns.pso-hns.org/index.php/pjohns/article/view/173 SP - 2 AB - <p><strong>Objective: </strong>To determine if the anatomic dimensions (length, cross-sectional width, cortical</p><p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; thickness) of the Filipino fibula are ideal for mandibular reconstruction.</p><p><strong>Method: </strong></p><p><strong>Design: </strong><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>Cross-sectional study</p><p><strong>Setting:</strong> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Anatomy dissection laboratory</p><p><strong>Patients: </strong><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </strong>40 fibulas from 20 adult cadavers</p><p><strong>Results:</strong> 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.</p><p><strong>Conclusion:</strong> Our findings show that the Filipino fibulas studied have dimensions that are ideal for mandibular reconstruction.</p><p><strong>Keywords:</strong> <em>Mandibular reconstruction, Fibula, Free Flaps, Fibular bone dimensions, Filipino</em></p> ER -