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1000 Titel
  • Development of a universal cutting guide for raising deep circumflex iliac artery flaps
1000 Autor/in
  1. Peters, Florian |
  2. Raith, Stefan |
  3. Bock, Anna |
  4. Kniha, Kristian |
  5. Möhlhenrich, Stephan Christian |
  6. Heitzer, Marius |
  7. Hölzle, Frank |
  8. Modabber, Ali |
1000 Verlag Springer International Publishing
1000 Erscheinungsjahr 2024
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2024-04-27
1000 Erschienen in
1000 Quellenangabe
  • 19(9):1875-1882
1000 Copyrightjahr
  • 2024
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s11548-024-03144-9 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11365821/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec> <jats:title>Purpose</jats:title> <jats:p>The deep circumflex iliac crest flap (DCIA) is used for the reconstruction of the jaw. For fitting of the transplant by computer-aided planning (CAD), a computerized tomography (CT) of the jaw and the pelvis is necessary. Ready-made cutting guides save a pelvic CT and healthcare resources while maintaining the advantages of the CAD planning.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>A total of 2000 CTs of the pelvis were divided into groups of 500 by sex and age (≤ 45 and &gt; 45 years). Three-dimensional (3D) pelvis models were aligned and averaged. Cutting guides were designed on the averaged pelvis for each group and an overall averaged pelvis. The cutting guides and 50 randomly selected iliac crests (10 from each group and 10 from the whole collective) were 3D printed. The appropriate cutting guide was mounted to the iliac crest and a cone beam CT was performed. The thickness of the space between the iliac crest and the cutting guide was evaluated.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Overall the mean thickness of the space was 2.137 mm and the mean volume of the space was 4513 mm<jats:sup>3</jats:sup>. The measured values were significantly different between the different groups. The overall averaged group had not the greatest volume, maximum thickness and mean thickness of the space.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Ready-made cutting guides for the DCIA flap fit to the iliac crest and make quick and accurate flap raising possible while radiation dose and resources can be saved. The cutting guides fit sufficient to the iliac crest and should keep the advantages of a standard CAD planning.</jats:p> </jats:sec>
1000 Sacherschließung
lokal Iliac Artery/surgery [MeSH]
lokal Female [MeSH]
lokal Ilium/surgery [MeSH]
lokal DCIA flap
lokal Cone-Beam Computed Tomography/methods [MeSH]
lokal Aged [MeSH]
lokal Adult [MeSH]
lokal Surgical Flaps/blood supply [MeSH]
lokal Humans [MeSH]
lokal VSP, CAM
lokal Middle Aged [MeSH]
lokal Tomography, X-Ray Computed/methods [MeSH]
lokal Original Article
lokal DCIA
lokal Male [MeSH]
lokal Printing, Three-Dimensional [MeSH]
lokal Iliac Artery/diagnostic imaging [MeSH]
lokal Imaging, Three-Dimensional [MeSH]
lokal Jaw reconstruction
lokal Oral cancer
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1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-3850-4592|https://frl.publisso.de/adhoc/uri/UmFpdGgsIFN0ZWZhbg==|https://frl.publisso.de/adhoc/uri/Qm9jaywgQW5uYQ==|https://frl.publisso.de/adhoc/uri/S25paGEsIEtyaXN0aWFu|https://frl.publisso.de/adhoc/uri/TcO2aGxoZW5yaWNoLCBTdGVwaGFuIENocmlzdGlhbg==|https://frl.publisso.de/adhoc/uri/SGVpdHplciwgTWFyaXVz|https://frl.publisso.de/adhoc/uri/SMO2bHpsZSwgRnJhbms=|https://frl.publisso.de/adhoc/uri/TW9kYWJiZXIsIEFsaQ==
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  1. Universitätsklinikum RWTH Aachen |
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    1000 Förderer Universitätsklinikum RWTH Aachen |
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