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Comparison of two different lingual flap advancement techniques and vascular structure identification:a human cadaver study

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Comparison of two different lingual flap advancement techniques and vascular structure identification:a human cadaver study

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dc.contributor.author Noguera-Mutlló, Carlos es
dc.contributor.author Traboulsi-Garet, Bassel es
dc.contributor.author Camps Font, Octavi es
dc.contributor.author Manzanares Céspedes, María Cristina es
dc.contributor.author Figueiredo, Rui es
dc.contributor.author Valmaseda Castellón, E. es
dc.date.accessioned 2023-06-16T08:36:51Z
dc.date.available 2023-06-16T08:36:51Z
dc.date.issued 2022 es
dc.identifier.citation Noguera-Mutlló, C., Traboulsi-Garet, B., Camps-Font, O., Manzanares-Céspedes, MC., Figueiredo, R., & Valmaseda-Castellón, E. (2022). Comparison of two different lingual flap advancement techniques and vascular structure identification: a human cadaver study. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e532-e538). Medicina Oral, S.L. https://doi.org/10.4317/medoral.25451 es
dc.identifier.uri https://hdl.handle.net/10550/88159
dc.description.abstract One of the most frequent complications in guided bone regeneration (GBR) is wound dehiscence, which compromises treatment outcomes. Thus, primary tension-free suture is essential to avoid wound dehiscence. The purpose of this study was to compare the extension of 2 different mandibular flaps in human cadaveric specimens, and to measure the size of the supraperiosteal blood vessels. Five freshly unfrozen human cadaveric specimens were used. Arteries and veins were marked and bilateral classical lingual flaps (extending from the second premolar to the retromolar area) were prepared. In one side, the mylohyoid muscle was detached to increase the coronal extension of the flap. An implant drill was used to measure the extension of the flap after exerting 30 g of traction, before and after detaching the mylohyoid muscle. The size of the largest vascular structures of the flap was measured using a periodontal probe. The classical flap extension was 5.99 mm (95% confidence interval (CI): 5.08 to 6.90), while the coronally advanced flap extension with mylohyoid muscle detachment was 14.96 mm (95%CI: 10.81 ? 19.11). A statistically significant difference was found between the 2 groups (p= 0.0002), with a mean extension difference was 8.97 mm (95%CI: 5.02 to 12.91). The mean largest artery had 0.20 mm of diameter (95%CI: 0.15 ? 0.26). The detachment of the mylohyoid muscle from the lingual flap allows to significantly increase its extension by 2.5 times. The superficial arteries found in the lingual flap have a small diameter (around 0.2mm). es
dc.subject radiotherapy es
dc.subject conformal es
dc.subject intensity-modulated es
dc.subject osteoradionecrosis es
dc.title Comparison of two different lingual flap advancement techniques and vascular structure identification:a human cadaver study es
dc.type journal article es_ES
dc.subject.unesco UNESCO:CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.25451 es
dc.type.hasVersion VoR es_ES
dc.identifier.url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648639/

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