PMID: 9440783Jan 24, 1998Paper

Buccinator musculomucosal flap: applications in intraoral reconstruction

Archives of Otolaryngology--head & Neck Surgery
G R Licameli, R Dolan

Abstract

To evaluate the use of the buccinator musculomucosal flap in the reconstruction of defects of the oral cavity and oropharynx. Prospective case series of 8 patients during a 1-year period with an average follow-up of 1 year. Six anatomical dissections were performed on 3 fresh cadaver heads to investigate the neurovascular supply to the flap. Academic tertiary referral medical center. The buccinator musculomucosal flap was used in the reconstruction of 8 defects of the oral cavity, retromolar trigone, and soft palate. There was 1 partial flap necrosis that occurred in a patient who had previously received radiation therapy and who healed secondarily without sequelae. No patient experienced difficulties with mastication or oral competence. All patients reported light single-point touch sensation over the flap 2 weeks after surgery. Cadaveric dissections using latex or india ink injections demonstrated the posterior neurovascular supply from the buccal artery, a branch of the internal maxillary artery, and the buccal nerve, a branch of the mandibular nerve. The buccinator musculomucosal flap is a dependable local sensate flap with a well-defined neurovascular pedicle that can be used in a variety of intraoral reconstructions obvia...Continue Reading

Citations

Apr 14, 2000·The Laryngoscope·M B Gillespie, D W Eisele
Dec 10, 2003·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Guan-fu Chen, Lai-ping Zhong
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Dec 14, 2011·Oral Oncology·S FerrariE Sesenna
Jul 7, 2009·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Bernardo BianchiEnrico Sesenna
Jun 28, 2005·Clinics in Plastic Surgery·Stuart ArchibaldAchilleas Thoma
Sep 4, 2010·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Silvano FerrariEnrico Sesenna
Feb 27, 2015·Plastic and Reconstructive Surgery·Adriana CordovaFrancesco Moschella
May 8, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Seung Hoon WooChung-Hwan Baek
May 11, 2017·The Journal of Craniofacial Surgery·Alessandro BardazziFederico Biglioli
Mar 7, 2003·Plastic and Reconstructive Surgery·Constantin A Landes, Adorján F Kovács
May 23, 2009·Annals of Plastic Surgery·Constantin A LandesAdorján F Kovács
May 23, 2007·The Journal of Laryngology and Otology·A C Van Lierop, J J Fagan
Mar 29, 2019·JAMA Facial Plastic Surgery·Christopher J BrittShaun C Desai
Aug 2, 2017·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Joe IwanagaR Shane Tubbs
Feb 15, 2001·Plastic and Reconstructive Surgery·G L MurrellD W Karakla
May 20, 2011·Current Opinion in Otolaryngology & Head and Neck Surgery·Christopher SzetoAnthony Nichols
Mar 30, 2010·Journal of Plastic Surgery and Hand Surgery·Juergen H DoldererWayne A Morrison
Dec 12, 2018·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Giuditta MannelliGiuseppe Spinelli

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