Premium
Cephalometric analysis for microvascular head and neck reconstruction
Author(s) -
Chang Edward I.,
Clemens Mark W.,
Garvey Patrick B.,
Skoracki Roman J.,
Hanasono Matthew M.
Publication year - 2012
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21967
Subject(s) - craniofacial , head and neck , maxilla , fibula , medicine , dentition , mandible (arthropod mouthpart) , orthodontics , cephalometric analysis , normative , dental arch , cephalometry , dentistry , anatomy , surgery , tibia , philosophy , botany , epistemology , psychiatry , biology , genus
Abstract Background While a large body of literature exists involving normative measurements for the craniofacial skeleton, few have analyzed the necessary dimensions that are pertinent in reconstruction using microvascular free flaps. Methods Cephalometric analysis was performed using 3‐dimensional CT scans from 70 adults. Relevant dimensions of the fibula were obtained from a subset of 20 patients. Results Normative cephalometric values, including various distances and angles, for the mandible and maxilla were obtained and compared to the dimensions of the fibula. Comparisons were made between measurements from men and women, and patients with full dentition and edentulous patients. Schematics for designing mandibular and maxillary reconstructions are presented. Conclusion When premorbid craniofacial anatomy cannot be discerned in the setting of extensive trauma or tumor involvement, normative dimensions may be a helpful guide for flap design and should be in the armamentarium of surgeons engaged in complex head and heck reconstruction. © 2012 Wiley Periodicals, Inc. Head Neck, 2012