A buccinator flap operation aims to lengthen the soft palate. The surgeon moves some of the lining of the inside of the cheek on its blood supply to make the soft. [1] published the first anatomic description of a posterior buccinator myomucosal flap based on the buccal branch of the internal maxillary artery (Fig. 1), not to be. The buccinator myomucosal flap is effective in reducing/eliminating hypernasality in patients with cleft palate (± lip) and velopharyngeal insufficiency.

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The anatomical basis for this flap was illustrated by Bozola et al, 2 who used it for palatal clefts and for 1 case of palatal carcinoma. At 1 year of follow-up the patient was free of disease. Speech assessment after 6 months follow-up Click here to view.

Buccinator-based myomucosal flaps in intraoral reconstruction: A review and new classification

Posteriorly based buccinator myomucosal pedicle flap reconstructed the mucosal defect, immediately after resection [ Figure 2 ]. Patients who had a history of previous surgical correction of palatoplasty complications, and those who did not follow postoperative flsp excluded from the study. The buccal artery, a branch of the internal maxillary artery, originates near the lateral aspect of the lateral pterygoid muscle entering the posterior aspect of the buccinator muscle.

Surg Gynecol Obstel ; Stensen duct pierce dlap muscle slightly above its center.

buccinatorr Buccal mucosal transposition flap for reconstruction of oropharyngeal-oral cavity defects: Inferior buccal branch Ib that nourish inferior part of the buccinator muscle [ Figure 1 ].

The length to breadth ratio of the flap was about 1: The patient was a 9-year-old boy with large peripheral giant cell granuloma in the mandibular alveolar ridge that extends from the right first permanent molar to the right canine area.


Donor site managed with buccal fat pad mobilization that clinically epithelialized 3 weeks later. However, further investigations on a larger sample size with longer ubccinator are recommended for more accurate conclusion. Various methods have been introduced for surgical repair of these complications; however, most of them are associated with a high recurrence rate and morbidity.

Three patients had prior oral cavity carcinoma; 2 in the same site as the resection and 1 with a history of multiple small SCCs of the tongue previously excised before presenting with a separate palate lesion. The buccinator-based myomucosal flaps are axial pattern flaps that are suitable in reconstruction of medium sized oral soft tissue defects; buccinztor are rich in blood supply, have appropriate thickness and considerable mucosal paddle, and they can secrete saliva.

Buccinator flap as a method for palatal fistula and VPI management

In addition, they were asked to rinse their mouth with chlorhexidine gluconate mouthwash for 60 sec thrice a day. In dentate patients, island modification and extraoral incision for mandibular lower border turnover is necessary. Light touch perception was demonstrated over the flap at the 2-week clinic follow-up.

All BMFs were harvested and transposed successfully.

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J Am Coll Surg. The buccal nerve is adjacent to the buccal artery and is easily included with the flap to maintain sensation to the overlying mucosa. This investigation was performed in the Al-zahra hospital, Isfahan, Iran, between March and May Amin Rahpeyma and Saeedeh Khajehahmadi 1. The presented technique has been effective in anatomical and functional repair of wide palatal defects primary as well as secondary.


Buccinator flap as a method for palatal fistula and VPI management

J Laryngol Otol April. Millard DR Jr, editor. Fortunately, these 2 patients achieved complete healing. Dtsch Z Mund Kiefer Gesichtschir. Footnotes Source of Support: The BMF has several advantages over other options that have been used in the reconstruction of oral cavity buccinatot.

A new approach for repair of oro-antral-nasal fistulae. Posterior superior alveolar artery. This concept comes from subcutaneous island pedicle skin flaps. Isberg A, Henningsson G. Lippincott Williams and Wilkins; The Head and Neck.

Acellular dermal matrix in cleft palate repair: Complications of primary palatoplasty: Although several factors may lead to secondary cleft fistulization, tension at the site of repair caused by shortage of the local tissue is the most important contributing factor. Surgical procedure All patients were subjected to repair of palatoplasty complications secondary palatal fistula or VPI under general anesthesia with oral endotracheal intubation.

The defect was allowed to heal secondarily. Flap pedicle in between lip commissure and facial artery, b Flap pedicle in between facial artery and vein. The inferiorly based masseter muscle flap: Table 1 Some pioneer surgeons in buccinator-based myomucosal flaps and the terms that they introduced. The island flap in cleft palate surgery. The patient was discharged home on postoperative day 1 on a soft solid diet.

Donor site morbidity using the buccinator myomucosal island flap. Buccal mucosal flaps in nasal reconstruction. Applications in Intraoral Reconstruction. The buccinator musculomucosal flap: