Publication: Dimensional guide to harvesting the radius for orofacial reconstruction
Issued Date
2008-12-01
Resource Type
ISSN
01252208
01252208
01252208
Other identifier(s)
2-s2.0-58949083627
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.91, No.12 (2008), 1879-1884
Suggested Citation
Wandee Apinhasmit, Supin Chompoopong, Dolly Methathrathip, Nutchaya Amornmettajit Dimensional guide to harvesting the radius for orofacial reconstruction. Journal of the Medical Association of Thailand. Vol.91, No.12 (2008), 1879-1884. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/19449
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Title
Dimensional guide to harvesting the radius for orofacial reconstruction
Other Contributor(s)
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.