δείτε την πρωτότυπη σελίδα τεκμηρίου στον ιστότοπο του αποθετηρίου του φορέα για περισσότερες πληροφορίες και για να δείτε όλα τα ψηφιακά αρχεία του τεκμηρίου*
Osteocutaneous Free Flap Including Medial and Lateral Scapular Crests:
Technical Aspects, Viability, and Donor Site Morbidity
Nkenke, Emeka
Vairaktaris, Eleftherios
Stelzle, Florian and
Neukam, Friedrich W.
Stockmann, Philipp
Linke, Rainer
The alms of the present study were to check for metabolism of the bony
segments of osteocutaneous free flaps that included lateral as well as
medial scapular crests by (18)F-fluoride positron emission tomography
(PET)/computed tomography (CT) examinations and to assess donor site
morbidity. Twenty patients were included in the study. In 10 patients,
osteocutaneous free flaps were harvested that included lateral as well
as medial scapular crests. Seven days after surgery, an (18)F-fluoride
PET/CT examination was performed to assess the metabolism and viability
of the bony segments. In the additional 10 patients, flaps were
harvested that only included the lateral scapular crest. All patients
were asked to fill in the disabilities of the arm, shoulder, and hand
(DASH) questionnaire 1 and 6 months after surgery. In the 10 free flaps
that included lateral as well as medial scapular crests, (18)F-fluoride
PET/CT examinations revealed metabolism and viability of both bony
segments. The DASH scores for the two patient groups did not differ
significantly at 1 and 6 months after surgery (p(1 month) = 0.520, p(6
months) = 0.545). It seems that scapular osteocutaneous free flaps
adopting lateral as well as medial scapular crests are a viable option
for mandibular reconstruction and may be an alternative to the fibular
double barrel.
(EN)
*Η εύρυθμη και αδιάλειπτη λειτουργία των διαδικτυακών διευθύνσεων των συλλογών (ψηφιακό αρχείο, καρτέλα τεκμηρίου στο αποθετήριο) είναι αποκλειστική ευθύνη των αντίστοιχων Φορέων περιεχομένου.
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