Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Head Neck. 2012 Nov;34(11):1607-14. doi: 10.1002/hed.21967. Epub 2012 Jan 31.
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.
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.
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.
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.
尽管有大量涉及颅面骨骼的规范测量的文献，但很少有文献分析使用游离微血管皮瓣重建时相关的必要尺寸。
对 70 名成年人的三维 CT 扫描进行头影测量分析。从 20 名患者的亚组中获得腓骨的相关尺寸。
获得了下颌骨和上颌骨的规范头影测量值，包括各种距离和角度，并与腓骨的尺寸进行了比较。比较了男性和女性、有全牙列和无牙患者之间的测量值。提出了设计下颌骨和上颌骨重建的示意图。
在广泛创伤或肿瘤累及的情况下，如果无法辨别术前颅面解剖结构，规范的尺寸可能有助于皮瓣设计，并且应该成为从事复杂头部和颈部重建的外科医生的工具之一。
