Surgical and radiologic anatomy : SRA
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The fibula free flap has become the dominant free flap for all mandible reconstructions, except in case of severe peripheral vascular disease. In these cases we propose to use the pedicled osteo-muscular dorsal scapular flap as an alternative technique. This flap is an original technique, it is pedicled on the dorsal scapular vessels with harvesting of the medial border of the scapula and the lateral part of the rhomboid muscles. ⋯ In this technique, after harvesting the medial border of the scapula and the lateral part of the rhomboid muscles, the flap has been transposed in the cervical region through a tunnel under the superior part of the trapezius. This technique has been used in three patients after lateral resection of the mandible. The functional results were good, allowing the preservation of the scapular elevation.
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This study investigates the differences in proportion and structure of the larynx in both children and adults, as well as changes which the larynx undergoes during puberty and adolescence. Furthermore, we have tried to answer the question on the existence of laryngeal sexual dismorphism in pre-pubertal (or pubertal) children. Larynges of 20 adults (10 men and 10 women) and 34 larynges of children not more than 12 years of age were acquired from the Forensic Medicine Department of the Medical University of Warsaw, Poland. ⋯ The younger the individual is the more slender the larynx would be. However, proportion is not gender-related and hence is about the same in both males and females of any given age-group. Nevertheless, basic parameters were larger in males.