Blood-pool SPECT in addition to bone SPECT in the viability assessment in mandibular reconstruction

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dc.contributor.authorAydogan, F.
dc.contributor.authorAkbay, E.
dc.contributor.authorCevik, C.
dc.contributor.authorKalender, E.
dc.date.accessioned2024-09-18T20:56:53Z
dc.date.available2024-09-18T20:56:53Z
dc.date.issued2014
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractINTRODUCTION: The assessment of the postoperative viability of vascularized and non-vascularized grafts used in the reconstruction of mandibular defects due to trauma and surgical reasons is a major problem in maxillofacial surgery. AIM: In the present study, we evaluated the feasibility and image quality of blood-pool SPECT, which is used for the first time in the literature here in the assessment of mandibular reconstruction, in addition to non-invasive bone scintigraphy and bone SPECT. We also evaluated whether it would be useful in clinical prediction. PATIENTS AND METHODS: Micro-vascularized and non-vascularized bone grafts were used in 12 Syrian men with maxillofacial trauma. Between days 5-7 after surgery, three-phase bone scintigraphy, blood-pool SPECT and delayed bone SPECT scans were performed. After month 6, the patients were assessed by control CT scans. RESULTS: Of the non-vascularized grafts, one graft was reported as non-viable at week one. At month 6, graft resorption was demonstrated on the CT images. The remaining non-vascularized grafts and all of the micro-vascularized grafts were considered to be viable according to delayed bone SPECT and blood-pool SPECT images. However, only the anterior and posterior ends could be clearly assessed on delayed SPECT images, while blood-pool SPECT images allowed the clear assessment of the entire graft. CONCLUSIONS: The combined use of blood-pool and delayed SPECT scans could allow for better assessment of graft viability in the early period, and can provide more detailed information to clinicians about prognosis in the follow-up of patients undergoing mandibular graft reconstruction.en_US
dc.identifier.endpage592en_US
dc.identifier.issn1128-3602
dc.identifier.issue4en_US
dc.identifier.pmid24610626en_US
dc.identifier.scopus2-s2.0-84897002626en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage587en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12149
dc.identifier.volume18en_US
dc.identifier.wosWOS:000341967600021en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectScintigraphyen_US
dc.subjectGraft viabilityen_US
dc.subjectBlood-pool SPECTen_US
dc.subjectBone SPECTen_US
dc.titleBlood-pool SPECT in addition to bone SPECT in the viability assessment in mandibular reconstructionen_US
dc.typeArticleen_US

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