English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Introduccion: La reconstruccion mandibular constituye un permanente desafio ya que implica la restauracion de multiples funciones. Se han ensayado diversas tecnicas y materiales siendo en la actualidad el colgajo de perone el estandar de tratamiento reconstructivo. Objetivos: Estudiar las caracteristicas del colgajo perone aplicado a la reconstruccion mandibular. Material y metodo: Entre enero de 2006 y abril de 2009 se realizaron un total de 18 colgajos microquirurgicos de perone, siendo el 50% de tipo osteocutaneos. Diez fueron mujeres con una edad promedio de 58 anos. Resultados. Encontramos constante la disposicion anatomica vascular, tanto la irrigacion osea como de la pastilla cutanea, asi tambien como la anatomia nerviosa y los parametros musculares para el abordaje del hueso. Hallamos un promedio de 1,7 ramas perforantes septocutaneas. No obtuvimos pediculos vasculares mayores a 8 cm. de longitud. El resultado estetico y funcional de nuestras reconstrucciones fue mas que aceptable aportando buena cantidad de tejido oseo e incluso en 3 casos fueron colocados implantes osteointegrados. Conclusiones: El colgajo microvascularizado de perone, en sus diferentes variedades osteo u osteocutaneo, constituye un colgajo seguro, siendo la primera eleccion en reconstruccion mandibular, debido a sus caracteristicas anatomicas oseas, a su constante disposicion anatomica vascular, y al minimo deficit que produce en la zona dadora. Introduction: The mandibular reconstruction is a permanent challenge as the restoration of many functions depends on it. Multiple techniques and materials have been used and, at the present, the fibular free flap is the goal standard reconstructive treatment. Objective: We studied the characteristics of the fibular flap applied to the mandibular reconstruction. Material and method: We performed a total of 18 microsurgical fibula free flap between January 2006 and April 2009; 50% of them were osteocutaneos type. Ten were women and average age was 58 years. Result: Anatomic elements had regular distribution, including the vascular supply, as well the for the bone as for the skin paddle, nervous branches and muscular parameters considered for bone approach. Perforating septo-cutaneous branches were 1.7 average. We could not manage vascular pedicles longer than 8 cm. Stetic and funtional results could be considered better than acceptable, providing good cuantity of bone tissue and including three cases of osseointegrated implants. Conclusions: The fibular free flap is safe, being the first choice in mandibular reconstruction, due to the anatomical bone characteristics, the constant vascular anatomy and the minimal mobility caused to the donor.

revista argentina de anatomía clínica

ANATOMÍA QUIRÚRGICA DEL COLGAJO OSTEOCUTÁNEO DE PERONÉ Y SU APLICACIÓN EN RECONSTRUCCIÓN MANDIBULAR SURGICAL ANATOMY OF THE FIBULAR OSTEOCUTANEOUS FREE FLAP IN MANDIBULAR RECONSTRUCTION