The in vitro evaluation of a local pedicled osteomyocutaneous mandibular flap for the reconstruction of composite mandibular defects
Purpose: The purpose of this study was to develop and assess the potential feasibility of reconstructing composite defects of the mandible with a local pedicled osteomyocutaneous mandibular flap. Materials and Methods: The flap design was established based on anatomic principles. A prospective evalu...
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| Veröffentlicht in: | Journal of oral and maxillofacial surgery 1999-04, Vol.57 (4), p.421-426 |
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| container_title | Journal of oral and maxillofacial surgery |
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| creator | Ducic, Yadranko Hilger, Peter A Peters, Michael D |
| description | Purpose: The purpose of this study was to develop and assess the potential feasibility of reconstructing composite defects of the mandible with a local pedicled osteomyocutaneous mandibular flap.
Materials and Methods: The flap design was established based on anatomic principles. A prospective evaluation of the flap was then performed in a fresh cadaver model, and, subsequently, its vascular integrity was documented with angiography.
Results: The pedicled osteomyocutaneous mandibular flap was technically simple to raise and had an exceptionally long arc of rotation, which should enable it to fill most compound segmental defects of the mandible. Angiographic studies of the harvested flaps done under fluoroscopic guidance confirmed that excellent vascularity of all components of the flap was present.
Conclusions: The pedicled osteomyocutaneous mandibular flap appears to have a sound anatomic basis. Clinical evaluation is needed to fully elucidate its potential role in head and neck reconstruction. |
| doi_str_mv | 10.1016/S0278-2391(99)90283-5 |
| format | Article |
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Materials and Methods: The flap design was established based on anatomic principles. A prospective evaluation of the flap was then performed in a fresh cadaver model, and, subsequently, its vascular integrity was documented with angiography.
Results: The pedicled osteomyocutaneous mandibular flap was technically simple to raise and had an exceptionally long arc of rotation, which should enable it to fill most compound segmental defects of the mandible. Angiographic studies of the harvested flaps done under fluoroscopic guidance confirmed that excellent vascularity of all components of the flap was present.
Conclusions: The pedicled osteomyocutaneous mandibular flap appears to have a sound anatomic basis. Clinical evaluation is needed to fully elucidate its potential role in head and neck reconstruction.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/S0278-2391(99)90283-5</identifier><identifier>PMID: 10199494</identifier><identifier>CODEN: JOMSDA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Bone Transplantation - methods ; Cadaver ; Dentistry ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; In Vitro Techniques ; Mandible - blood supply ; Mandible - surgery ; Maxillofacial surgery. Dental surgery. Orthodontics ; Medical sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps - blood supply</subject><ispartof>Journal of oral and maxillofacial surgery, 1999-04, Vol.57 (4), p.421-426</ispartof><rights>1999</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-66a4593574de9e55d3d63dbc59504b5e52fff9e45e7d3f41226ce4343860c6373</citedby><cites>FETCH-LOGICAL-c421t-66a4593574de9e55d3d63dbc59504b5e52fff9e45e7d3f41226ce4343860c6373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0278-2391(99)90283-5$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1744733$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10199494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ducic, Yadranko</creatorcontrib><creatorcontrib>Hilger, Peter A</creatorcontrib><creatorcontrib>Peters, Michael D</creatorcontrib><title>The in vitro evaluation of a local pedicled osteomyocutaneous mandibular flap for the reconstruction of composite mandibular defects</title><title>Journal of oral and maxillofacial surgery</title><addtitle>J Oral Maxillofac Surg</addtitle><description>Purpose: The purpose of this study was to develop and assess the potential feasibility of reconstructing composite defects of the mandible with a local pedicled osteomyocutaneous mandibular flap.
Materials and Methods: The flap design was established based on anatomic principles. A prospective evaluation of the flap was then performed in a fresh cadaver model, and, subsequently, its vascular integrity was documented with angiography.
Results: The pedicled osteomyocutaneous mandibular flap was technically simple to raise and had an exceptionally long arc of rotation, which should enable it to fill most compound segmental defects of the mandible. Angiographic studies of the harvested flaps done under fluoroscopic guidance confirmed that excellent vascularity of all components of the flap was present.
Conclusions: The pedicled osteomyocutaneous mandibular flap appears to have a sound anatomic basis. Clinical evaluation is needed to fully elucidate its potential role in head and neck reconstruction.</description><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Cadaver</subject><subject>Dentistry</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Mandible - blood supply</subject><subject>Mandible - surgery</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps - blood supply</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkT1v1TAUhi0EoreFnwDygFAZAv5OPFWo4kuqxECZLV_7WBglcbCdK3Xnh-M2F-jWycvzvuf4PAi9oOQtJVS9-0ZYP3SMa3qu9RtN2MA7-QjtqOS0k0Tyx2j3DzlBp6X8JIRS2aun6KQ1aC202KHf1z8AxxkfYs0Jw8GOq60xzTgFbPGYnB3xAj66ETxOpUKabpJbq50hrQVPdvZxv4424zDaBYeUcW2NGVyaS82r-1vm0rSkEivcz3gI4Gp5hp4EOxZ4fnzP0PePH64vP3dXXz99uXx_1TnBaO2UskJqLnvhQYOUnnvF_d5JLYnYS5AshKBBSOg9D4IyphwILvigiFO852fo9da75PRrhVLNFIuDcdx-Y5RWA9P0YZD2jA9EqwbKDXQ5lZIhmCXHyeYbQ4m59WTuPJlbCUZrc-fJyJZ7eRyw7ifw91KbmAa8OgK2NAch29nF8p_rheg5b9jFhkE72yFCNsVFmF0z1hRU41N8YJM_5KWxhA</recordid><startdate>19990401</startdate><enddate>19990401</enddate><creator>Ducic, Yadranko</creator><creator>Hilger, Peter A</creator><creator>Peters, Michael D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>19990401</creationdate><title>The in vitro evaluation of a local pedicled osteomyocutaneous mandibular flap for the reconstruction of composite mandibular defects</title><author>Ducic, Yadranko ; Hilger, Peter A ; Peters, Michael D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-66a4593574de9e55d3d63dbc59504b5e52fff9e45e7d3f41226ce4343860c6373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Biological and medical sciences</topic><topic>Bone Transplantation - methods</topic><topic>Cadaver</topic><topic>Dentistry</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Mandible - blood supply</topic><topic>Mandible - surgery</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ducic, Yadranko</creatorcontrib><creatorcontrib>Hilger, Peter A</creatorcontrib><creatorcontrib>Peters, Michael D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ducic, Yadranko</au><au>Hilger, Peter A</au><au>Peters, Michael D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The in vitro evaluation of a local pedicled osteomyocutaneous mandibular flap for the reconstruction of composite mandibular defects</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>1999-04-01</date><risdate>1999</risdate><volume>57</volume><issue>4</issue><spage>421</spage><epage>426</epage><pages>421-426</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>Purpose: The purpose of this study was to develop and assess the potential feasibility of reconstructing composite defects of the mandible with a local pedicled osteomyocutaneous mandibular flap.
Materials and Methods: The flap design was established based on anatomic principles. A prospective evaluation of the flap was then performed in a fresh cadaver model, and, subsequently, its vascular integrity was documented with angiography.
Results: The pedicled osteomyocutaneous mandibular flap was technically simple to raise and had an exceptionally long arc of rotation, which should enable it to fill most compound segmental defects of the mandible. Angiographic studies of the harvested flaps done under fluoroscopic guidance confirmed that excellent vascularity of all components of the flap was present.
Conclusions: The pedicled osteomyocutaneous mandibular flap appears to have a sound anatomic basis. Clinical evaluation is needed to fully elucidate its potential role in head and neck reconstruction.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10199494</pmid><doi>10.1016/S0278-2391(99)90283-5</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of oral and maxillofacial surgery, 1999-04, Vol.57 (4), p.421-426 |
| issn | 0278-2391 1531-5053 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Biological and medical sciences Bone Transplantation - methods Cadaver Dentistry Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans In Vitro Techniques Mandible - blood supply Mandible - surgery Maxillofacial surgery. Dental surgery. Orthodontics Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - blood supply |
| title | The in vitro evaluation of a local pedicled osteomyocutaneous mandibular flap for the reconstruction of composite mandibular defects |
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