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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)



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.


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.


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


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:


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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.



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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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