Evidence map›Paper›PMID 24248640›Full record

ArticleClinical oral investigations2014

Enhancing mandibular bone regeneration and perfusion via axial vascularization of scaffolds.

Ahmad Mahmoud Eweida, Ayman Sameh Nabawi, Mohamed Abouarab, Mohamed Kayed, Habashi Elhammady, Ashraf Etaby, Mohamed Rafik Khalil, Michael Samir Shawky, Ulrich Kneser, Raymund E Horch and 2 more

Registry-linked trialAbstract read
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In one paragraph

Article in Clinical oral investigations, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04001842 (Mandibular Reconstruction Using Tissue Regeneration With Axially Vascularised Bone Substitutes), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04001842 narecruitingnot on this mapstarted 2019, after this paper: background citation

Mandibular Reconstruction Using Tissue Regeneration With Axially Vascularised Bone Substitutes

TypeinterventionalSponsorUniversity of AlexandriaRan2019 to 2030Enrolled10ConditionsMandibular DeficiencyArmsSurgical reconstruction of the mandible using an axially vascularized bone construct
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
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  4. Article
  5. Review
  6. [Research progress ofZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Journal of tissue engineering
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ahmad Mahmoud EweidaHead and Neck and Endocrine Surgery, Faculty of Medicine, University of Alexandria, Elkhartoum Square, Alexandria, 21131, Egypt, ahmad.eweida@alexmed.edu.eg.
Ayman Sameh Nabawi
Mohamed Abouarab
Mohamed Kayed
Habashi Elhammady
Ashraf Etaby
Mohamed Rafik Khalil
Michael Samir Shawky
Ulrich Kneser
Raymund E Horch
Naglaa Nagy
Mona Kamal Marei

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveReconstruction of large and complex bone segments is a challenging problem facing maxillofacial surgery. The majority of current regenerative approaches rely on extrinsic vascularization, which is deficient after cancer ablation and irradiation. The aim of the study was to investigate the efficacy of intrinsic axial vascularization of synthetic bone scaffolds in the management of critical-size mandibular defects. MATERIALS AND

methodsScaffold-guided mandibular regeneration in two groups of adult male goats was compared. Only the scaffolds of the second group were axially vascularized via in situ embedding of an arteriovenous loop through microsurgical anastomosis of facial vessels. After 6 months of follow up, both groups were compared through radiological, biomechanical, histological and histomorphometric analysis.

resultsThe axially vascularized constructs have showed significantly more central vascularization (p = 0.021) and markedly enhanced central bone formation (p = 0.08). The biomechanical characteristics were enhanced, but the difference between both groups was not statistically significant (p = 0.98).

conclusionsAxially vascularized synthetic mandibular grafts show better vascularization at their central regions, permitting more efficient bone regeneration. CLINICAL RELEVANCE: The encouraging results of the proposed technique could be of benefit in optimizing the reconstruction of large critical-size bone defects.

Indexed as

Bone RegenerationTissue ScaffoldsAnimalsGoatsMaleMandible

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.