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.

Author: Sham Brarg
Country: Laos
Language: English (Spanish)
Genre: Career
Published (Last): 1 April 2013
Pages: 147
PDF File Size: 2.23 Mb
ePub File Size: 13.98 Mb
ISBN: 520-1-97492-907-7
Downloads: 4308
Price: Free* [*Free Regsitration Required]
Uploader: Goltilabar

Otolaryngol Clin North Am. Table 3 Buccinator-based myomucosal pedicled flaps and their pivot points. Sign in to access your subscriptions Sign in to your personal account. The patient was a year-old girl with benign pathologic lesion that involved soft palate.

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

This tumor was excised by an intraoral approach with 1-cm margins. Flap survival in this situation is explained by rich submucous venous plexus.

Case 7 The patient was a year-old man with lower lip squamous cell carcinoma stage II. None of the patients had complete flap necrosis.

All patients demonstrated touch perception over their flap 2 weeks after surgery. The anterior limit of the flap is 1 cm behind the oral commissure.

We investigated the use of the posteriorly based BMF and found that it is a reliable, easily harvested local flap, useful for reconstruction of lesions involving the floor of mouth, retromolar trigone, and soft palate. Making incisions on the marked out lines, BMFs were raised from the donor site, and immediately transferred to the recipient site to repair the defect.


Bucvinator of Ib inferior buccal branch makes its blood supply more predictable. These flaps provide adequate amount of tissue required for correction of the defect and reduce the need for external incisions. Buccal fat pad could not herniate in surgical field for donor site coverage, probably because of previous radiotherapy, thus masseter muscle flap became the choice.

Buccinator flap as a method for palatal fistula and VPI management

At 1 year of follow-up the patient was free of disease. The buccopharyngeal fascia should be preserved for 2 reasons: None of the patients developed postoperative donor-site morbidity. Random pattern buccinator myomucosal flap without including the axial artery in base covered the defect, therefore, soft tissue dehiscence buccinatpr the problem of exposed bone cavity was prevented.

Buccal musculomucosal flap for reconstruction of wide vermilion and orbicularis oils muscle defect. Surgical anatomy of the head and neck.

Line drawing of buccinator musculomucosal flap anatomy. 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.

In dentate patients, island modification and extraoral incision for mandibular lower border turnover is necessary. Plastic and Reconstructive Surgery; p.

Buccinator flap as a method for palatal fistula and VPI management

How to cite this article: Incidence and cluster occurrence of palatal fistula after furlow palatoplasty by a single surgeon.


Millard DR Jr, editor. Anatomical basis and results of the facial artery musculomucosal flap for oral reconstruction. Sign in to save your search Sign in to your personal account.

Anatomic study and clinical application. Facial artery and its branches Buccinstor, Ib, Pbbuccal artery, and nerve. Amin Rahpeyma and Saeedeh Khajehahmadi 1. Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more.

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

All these vessels anastomosed with each other extensively [ Figure 1 ]. In superior or inferiorly based flaps, the long axis is vertical, but, in posterior or anteriorly based flaps, the long axis is horizontal. The flap contained facial artery [ Figure 8 ]. The formed flap was turned around the inferior border of the mandible and brought to the lingual side to cover the raw surface of lateral tongue.

All patients were subjected to repair of palatoplasty complications secondary palatal fistula or VPI under general anesthesia with buccinnator endotracheal intubation. In addition, its donor site can be closed primarily with excellent cosmesis and function. The flap has been used to repair defect in nasal layer, oral layer, or in combined nasal as well as oral layer of the palate.