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.

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A multivariate bucccinator analysis of prevalence, etiology, and surgical management. Abstract The buccinator-based myomucosal flaps are axial pattern flaps that are suitable in reconstruction of medium sized oral soft tissue defects; they are rich in blood supply, have appropriate thickness and considerable mucosal paddle, and they can secrete saliva.

Buccinator flap as a method for palatal fistula and VPI management

On follow-up visits, patients were examined to evaluate the success of palatal fistula closure and palatal lengthening. Pivot point for buccinator-based myomucosal pedicled flaps is explained in Table 3. P indicates palate; t, tongue; and buccinatog, retromolar trigone tumor. A mL syringe with an gauge angiocatheter was inserted into the internal maxillary artery and secured with a crimping silk suture, and the ink was injected under steady continuous pressure for approximately 15 seconds.

Line drawing of buccinator musculomucosal flap anatomy. Cleft palate elongation and mucous grafting in the open wound nasal area in a single operative stage. Anatomic study and case report. Reconstruction site 6 months after surgery. This artery communicates with infraorbital artery branches. Plastic and Reconstructive Surgery; p. Donor site closed primarily [ Figure 7 ]. In axial pattern buccinator flaps based on facial or buccal artery, the size of mucosal paddle is nearly equal.


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

Surgical management of the septal perforation. The buccinator myomucosal flap BMF has been introduced as a useful and versatile technique for correcting defects in any part of the oral cavity, with good results and modest morbidity.

There was no need for pedicle division [ Figure 5 buccinxtor. The defect was allowed to heal secondarily.

We present this clinical experience and results of cadaveric dissections buvcinator demonstrate the anatomical basis and clinical applications of the BMF. The length of the soft palate increased This versatile local flap should be considered for reconstruction of defects of the floor of mouth, retromolar trigone, and soft palate.

Buccinatog of palatal fistula after palatoplasty with levator veli palatini retropositioning according to Sommerlad. Buccinator musculomucosal flap b inset into defect and the donor site d closed primarily.

The flap is islanded on a pedicle of the buccinator muscle. Bilateral superiorly based buccinator myomucosal pedicle flap was used for reconstruction [ Figure 3 ]. Applications in intraoral reconstruction. Branching patterns and symmetry of the course of the facial artery in Koreans. A new operation to cure nasopharyngeal incompetence. Special kind of fasciocutaneous, myocutaneous, and muscle flaps for coverage of intraoral soft tissue defects have been designed.

Note the flap outline anterior to the stensen duct and incorporation of some fibers of orbicularis oris muscle in flap.


Cleft palate repair by double opposing Z-plasty. All patients reported light single-point touch sensation over the flap 2 weeks after surgery. Some observations on the primary and secondary repair of the cleft palate. Under general anesthesia, wide surgical resection, and supraomohyoid neck dissection SOHND in the right side was done. Facial artery and its branches Ab, Ib, Pbbuccal artery, and nerve.

National Center flp Biotechnology InformationU. The use of vomerine flap for palatal lengthening: The flap is then transferred into the defect and secured with long-lasting absorbable sutures, and the donor site is closed primarily Figure 4 and Figure 5. A new intraoral flap: Anatomy Buccinator muscle originates posteriorly from pterygomandibular raphe and blend with orbicularis oris muscle anteriorly.

Anteriorly based buccinator myomucosal flap was introduced by Carstens et al. A T-shaped musculomucosal buccal flap for the cleft palate surgery. The Evolution of Buccinxtor Surgery, Vol.

Buccinator flap as a method for palatal fistula and VPI management

Privacy Policy Terms of Use. Anatomical basis for its use in head and neck reconstructive surgery.

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Buccal fat pad covered the donor site [ Figure 9 ]. Inferiorly based buccinator myomucosal pedicle flap was used for reconstruction. Buvcinator buccinator myomucosal island flap: Mucous island flaps on submucous pedicles. Anteriorly based buccinator myomucosal flap is not shown for simplicity.

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