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

  • A C Van Lierop (a1) and J J Fagan (a1)

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.

Copyright

Corresponding author

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: antonvl@worldonline.co.za

Footnotes

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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.

Footnotes

References

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7 Kaplan, EN. Soft palate repair by levator muscle reconstruction and a buccal mucosal flap. Plast Reconstr Surg 1975;56:129–36
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10 Licamelli, CR, Dolan, R. Buccinator musculomucosal flap. Arch Otolaryngol Head Neck Surg 1998;124:6972
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;196:753–60
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;105:90–6
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;37:25–8

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

  • A C Van Lierop (a1) and J J Fagan (a1)

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