BACKGROUND: Reconstruction of moderate-sized mucosal defects of the oral cavity/oropharynx represents a surgical challenge. The most widely used reconstructive techniques are skin grafts, local or regional pedicled flaps, and free flaps, but they do not provide mucosal sensitivity, mobility, volume, or texture similar to that of native tissue. The cheek myomucosal flaps seem to provide "ideal reconstruction" because they carry a thin, mobile, well-vascularized, and sensitive tissue, like those excised or lost. The purpose of this retrospective analysis was to evaluate the indications for the advantages and disadvantages of 6 types of buccinator myomucosal flaps which are possible to raise from the cheek mucosa. METHODS: Sixty-nine buccinator myomucosal flaps were performed on 66 patients with moderate-sized postoncologic and posttraumatic oral and oropharyngeal defects. RESULTS: In all cases except 1, flaps were successfully used with excellent oncological and functional results. CONCLUSION: Buccinator myomucosal flaps can be considered "ideal flaps" for three-dimensional oral and oropharyngeal reconstructions.
BACKGROUND: Reconstruction of moderate-sized mucosal defects of the oral cavity/oropharynx represents a surgical challenge. The most widely used reconstructive techniques are skin grafts, local or regional pedicled flaps, and free flaps, but they do not provide mucosal sensitivity, mobility, volume, or texture similar to that of native tissue. The cheek myomucosal flaps seem to provide "ideal reconstruction" because they carry a thin, mobile, well-vascularized, and sensitive tissue, like those excised or lost. The purpose of this retrospective analysis was to evaluate the indications for the advantages and disadvantages of 6 types of buccinator myomucosal flaps which are possible to raise from the cheek mucosa. METHODS: Sixty-nine buccinator myomucosal flaps were performed on 66 patients with moderate-sized postoncologic and posttraumatic oral and oropharyngeal defects. RESULTS: In all cases except 1, flaps were successfully used with excellent oncological and functional results. CONCLUSION: Buccinator myomucosal flaps can be considered "ideal flaps" for three-dimensional oral and oropharyngeal reconstructions.
Authors: Olindo Massarelli; Luigi Angelo Vaira; Andrea Biglio; Roberta Gobbi; Pasquale Piombino; Giacomo De Riu Journal: Oral Maxillofac Surg Date: 2017-09-21
Authors: Zainab Farzal; Ana M Lemos-Rodriguez; Rounak B Rawal; Lewis J Overton; Satyan B Sreenath; Mihir R Patel; Adam M Zanation Journal: J Neurol Surg B Skull Base Date: 2015-06-01
Authors: Bok Ki Jung; Seung Yong Song; Se-Heon Kim; Young Seok Kim; Won Jai Lee; Jong Won Hong; Tai Suk Roh; Dae Hyun Lew Journal: Arch Plast Surg Date: 2015-07-14
Authors: Michał Gontarz; Jakub Bargiel; Krzysztof Gąsiorowski; Tomasz Marecik; Paweł Szczurowski; Jan Zapała; Grażyna Wyszyńska-Pawelec Journal: World J Surg Oncol Date: 2022-03-12 Impact factor: 2.754