치과용 임프란트 매식을 위한 견갑골외연의 형태학적 연구
Morphometric study of scapular lateral border for installation of dental implant
이종호, 정숭룡,
소속 상세정보
이종호 ( ) - 전남대학교
정숭룡 ( ) - 전남대학교
KMID : 0360119950170030231
Abstract
The scapular flap, described by dos Santos in 1986, has been used successfully for the reconsturuction of a variety of defects of oro-mandible. Some have defined the gross and vascular anatomy of the lateral border of the scapula, yet useful
anatomical
information and a complete description of area and contour of each cut surface of lateral border of scapula, which is very important for esthetic and functional reconstruction using dental implants, are missing. These prompted us to clarify the
cross-sectional area of lateral border of scapula. Twenty three scapulas of 15 fixed adult Caucasian cadavers were sectioned in every 1cm interval along the lateral border of scapular, and the metric relations and the shape of cut surface were
assessed.
The lateral border of the scapula, consisting of cortico-cancellous bone measuring 7.86±0.97mm in width, 19.6±2.86mm in height and 12±1.78cm in length, could be harvested as an osteocutaneous scapular flap or as a single vascularized bone
flap.
The
mean thickness of cortical bone of lateral, medial, dorsal and costal surface was 0.46±1.48mm, 1.78±1.34mm, 1.54±1.11mm and 1.35±0.87mm, respectively. So we have thought that all scapular transplants could be supported osseointegrated
implants
for
fixation of dental prosthesis.
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