HomePhilippine Journal of Otolaryngology Head and Neck Surgeryvol. 32 no. 1 (2017)

Fibular Dimensions for Mandibular Reconstruction among Filipinos

Nikkoh P. Munoz | Adrian F. Fernando | Samantha S. Castañeda, Md

 

Abstract:

Objective: To determine if the anatomic dimensions (length, cross-sectional width, cortical thickness) of the Filipino fibula are ideal for mandibular reconstruction.

Methods:

Design: Cross-Sectional Study

Setting: Anatomy dissection laboratory

Participants: 40 fbulas from 20 adult cadavers

Results: Morphometric examination showed the mean length of the harvested fibulas was 33.5 cm. The mean horizontal (a-d) and vertical (b-c) widths of the proximal cross-section (point B) were 15.1 ± 0.28 mm and 9.9 ± 0.15 mm respectively. The mean horizontal (a-d) and vertical (b-c) widths of the distal cross-section (point D) were 15.4 ± 0.24 mm and 10.3 ± 0.49 mm, respectively. The mean cortical thickness of the anterior (a), lateral (b), posterior (c) and medial (d) aspects of the proximal cross-section (point B) were 5.2 ± 0.1 mm, 3.2 ± 0.04 mm, 3.6 ± 0.01 mm, and 2.9 ± 0.06 mm, respectively. The mean cortical thickness of the anterior (a), lateral (b), posterior (c) and medial (d) aspects of the distal cross-section (point D) were 5.1 ± 0.21 mm, 3.1 ± 0.11 mm, 3.5 ± 0.04 mm, and 2.9 ± 0.09 mm, respectively.

Conclusion: Our findings show that the Filipino fibulas studied have dimensions that are ideal for mandibular reconstruction