Dimensional guide to harvesting the radius for orofacial reconstruction.
No Thumbnail Available
Date
2008-12-13
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
OBJECTIVE: To provide an accurate harvesting guide to maintain the maximum possible safe dimensions of the radius for orofacial reconstruction using the osteocutaneous radial forearm free flap.
MATERIAL AND METHOD: Two hundred radii of 100 adult formalin-embalmed cadavers (52 males, 48 females) were measured.
RESULTS: The mean minimum circumference of the radius measured between the pronator teres and brachioradialis insertions was 41.0 +/- 4.3 mm. At this point, the mean medio-lateral diameter was 13.4 +/- 1.6 mm. The mean of the maximum harvested length of the radius between the pronator teres and brachioradialis insertions was 81.3 +/- 10.4 mm. On the average, the maximum harvested length of the radius was 34.9% of its total length. The minimum medio-lateral diameter of the radius was consistently 1-5 mm less than 40% of its minimum circumference. There was no significant dimensional difference between sides but gender difference existed in all measurements (p < 0.001), except the maximum harvested length of the radius.
CONCLUSION: The present study may be helpful to guide reconstructive surgeons for safer harvesting of the radius using the osteocutaneous radial forearm free flap to repair orofacial defects.
Description
Chotmaihet Thangphaet.
Keywords
Citation
Apinhasmit W, Chompoopong S, Methathrathip D, Amornmettajit N. Dimensional guide to harvesting the radius for orofacial reconstruction. Journal of the Medical Association of Thailand. 2008 Dec; 91(12): 1879-83