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Buccinator myomucosal flap: clinical results and review of anatomy, surgical technique and applications

Published online by Cambridge University Press:  22 May 2007

A C Van Lierop  and
J J Fagan
A C Van Lierop
Affiliation:
Division of Otolaryngology, University of Cape Town Medical School, South Africa
J J Fagan*
Affiliation:
Division of Otolaryngology, University of Cape Town Medical School, South Africa
*
Address for correspondence: Professor J J Fagan, Division of Otolaryngology, Groote Schuur Hospital, Observatory 7925, Cape Town, South Africa. Fax: (0)21 4488865 E-mail: [email protected]
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Abstract

Background:

The buccinator musculomucosal flap is an axial-pattern flap based on either the buccal or the facial artery. We present our experience with this flap and describe its surgical anatomy, the surgical techniques utilised to raise the flap and its clinical applications.

Materials and methods:

We retrospectively reviewed all patients who had had buccinator myomucosal flaps created at the Groote Schuur Hospital between 1999 and 2004. Patients were also recalled to assess flap sensation and to record reduction of mouth opening as a consequence of donor site scarring.

Results:

Of the 14 patients who had had a buccinator myomucosal flap created, there was one flap failure. Sensation was present in 71 per cent of flaps, and there was no trismus due to donor site scarring.

Conclusions:

The buccinator myomycosal flap is a dependable flap with good functional outcome and low morbidity.

Keywords

MouthCarcinomaFistulaSurgical FlapsSurgical Procedures, Operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 2 , February 2008 , pp. 181 - 187
Copyright
Copyright © JLO (1984) Limited 2007

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Footnotes

Presented at the Annual Academic Meeting of the South African Society of Otorhinolaryngology Head and Neck Surgery, 14–17 November 2004, Port Elizabeth, South Africa.

References

1 Bozola, A, Gasques, J, Carriquiry, C, Cordosa de Oliveira, M. The buccinator musculomucosal flap: anatomic study and clinical application. Plast Reconstr Surg 1989;84:250–7CrossRefGoogle ScholarPubMed
2 Carstens, MH, Stofman, GM, Hurwitz, DJ, Futrell, JW, Patterson, GT, Sotereanos, G. The buccinator myomucosal island pedicle flap: anatomic study and case report. Plast Reconstr Surg 1991;88:39–50Google Scholar
3 Zhao, Z, Li, S, Yan, Y, Li, Y, Yang, M, Mu, L et al. New buccinator myomucosal island flap: anatomic study and clinical application. Plast Reconstr Surg 1999;104:55–64Google Scholar
4 Tezel, E. Buccal mucosal flaps: a review. Plast Reconstr Surg 2002;109:735–41Google Scholar
5 Tipton, JB. Closure of large septal perforations with labial-buccal flap. Plast Reconstr Surg 1970;46:514–15Google Scholar
6 Jackson, IT. Closure of secondary palatal fistulae with intra-oral tissue and bone grafting. Br J Plast Surg 1972;25:93–105Google Scholar
7 Kaplan, EN. Soft palate repair by levator muscle reconstruction and a buccal mucosal flap. Plast Reconstr Surg 1975;56:129–36Google Scholar
8 Rayner, CR. Oral mucosal flaps in midfacial reconstruction. Br J Plast Surg 1984;37:43–7Google Scholar
9 Maeda, K, Ojimi, H, Utsugi, R, Ando, S. A T-shaped musculomucosal buccal flap method for cleft palate surgery. Plast Reconstr Surg 1987;79:888–96CrossRefGoogle ScholarPubMed
10 Licamelli, CR, Dolan, R. Buccinator musculomucosal flap. Arch Otolaryngol Head Neck Surg 1998;124:69–72Google Scholar
11 Zhao, Z, Zhang, Z, Li, Y, Li, S, Xiao, S, Fan, X et al. The buccinator musculomucosal island flap for partial tongue reconstruction. J Am Coll Surg 2003;196:753–60CrossRefGoogle ScholarPubMed
12 Stofman, GM, Carstens, MH, Berman, PD, Arena, S, Sotereanos, GC. Reconstruction of the floor of mouth by means of an anteriorly based buccinator myomucosal island flap. Laryngoscope 1995;105:90–6Google Scholar
13 Dupoirieux, L, Plane, C, Penneau, M. Anatomical basis and results of the facial artery musculomucosal flap for oral reconstruction. Br J Oral Maxillofac Surg 1999;37:25–8Google Scholar