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腓骨的解剖学检查：用于骨整合种植体植入的数字成像研究。

Anatomical examination of the fibula: digital imaging study for osseointegrated implant installation.

作者信息

Ide Yoshiaki, Matsunaga Satoru, Harris Jeffrey, O' Connell Daniel, Seikaly Hadi, Wolfaardt Johan

机构信息

Department of Developmental and Regenerative Dentistry, School of Life Dentistry at Tokyo, The Nippon Dental University, 1-9-20 Fujimi, Chiyoda-ku, Tokyo, 102-8159, Japan.

Department of Anatomy, Tokyo Dental College, 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo, 101-0061, Japan.

出版信息

J Otolaryngol Head Neck Surg. 2015 Feb 3;44(1):1. doi: 10.1186/s40463-015-0055-9.

DOI:10.1186/s40463-015-0055-9
PMID:25645158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4349317/
Abstract

BACKGROUND

Free vascularized fibular flaps are commonly used in jaw reconstruction. CT scan images of the fibula are used in digital planning of jaw reconstruction. In order to fully describe the anatomy of the fibula, an imaging study of the fibula was undertaken. The purpose of the present study was to examine the anatomical structure of the fibula using patient CT images.

METHODS

The CT scan images of fibulae of 20 patients were used for the study. The results of the analysis showed that, of the widths, the anterior border of the fibula to the posterior surface was the largest dimension. The shape type analysis showed that the triangular type was most prominent near the head of the fibula, and the irregular type was most prominent towards the lateral malleolus.

RESULTS

The results of height and width related to the long axis of implant installation showed that the width of the central section was the largest. With respect to the length of available bone volume, the length near the lateral malleolus was larger than that near the head of the fibula. The results showed that there were significant differences in size between male and female fibulae.

CONCLUSION

The present study provides a CT scan based analysis of the anatomy of the fibula. Important information for the optimal site of installation of osseointegrated implants in fibular free flap reconstructions is also provided.

摘要

背景

游离血管化腓骨瓣常用于颌骨重建。腓骨的CT扫描图像用于颌骨重建的数字化规划。为了全面描述腓骨的解剖结构，对腓骨进行了影像学研究。本研究的目的是利用患者的CT图像检查腓骨的解剖结构。

方法

本研究使用了20例患者腓骨的CT扫描图像。分析结果显示，在宽度方面，腓骨前缘至后表面的尺寸最大。形状类型分析表明，三角形类型在腓骨头附近最为突出，不规则类型在外侧踝附近最为突出。

结果

与种植体植入长轴相关的高度和宽度结果显示，中央部分的宽度最大。就可用骨体积的长度而言，外侧踝附近的长度大于腓骨头附近的长度。结果表明，男性和女性腓骨在尺寸上存在显著差异。

结论

本研究提供了基于CT扫描的腓骨解剖结构分析。还提供了在游离腓骨瓣重建中种植体最佳植入部位的重要信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/091b2ede41b6/40463_2015_55_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/9b0edbb0c36a/40463_2015_55_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/92ae10fb29de/40463_2015_55_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/34aafc4c9d91/40463_2015_55_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/b53f522df5c4/40463_2015_55_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/d9d0f37e07f7/40463_2015_55_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/734b4304e18d/40463_2015_55_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/98572ecb2078/40463_2015_55_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/92c3c2d1b1d0/40463_2015_55_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/d521c66e87c2/40463_2015_55_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/091b2ede41b6/40463_2015_55_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/9b0edbb0c36a/40463_2015_55_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/92ae10fb29de/40463_2015_55_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/34aafc4c9d91/40463_2015_55_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/b53f522df5c4/40463_2015_55_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/d9d0f37e07f7/40463_2015_55_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/734b4304e18d/40463_2015_55_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/98572ecb2078/40463_2015_55_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/92c3c2d1b1d0/40463_2015_55_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/d521c66e87c2/40463_2015_55_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2c2/4349317/091b2ede41b6/40463_2015_55_Fig10_HTML.jpg

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