Inferiorly based buccinator myomucosal island flap in oral and pharyngeal reconstruction. Four techniques to increase its application

Rahpeyma, A. and Khajehahmadi, S. (2015) Inferiorly based buccinator myomucosal island flap in oral and pharyngeal reconstruction. Four techniques to increase its application. International Journal of Surgery Case Reports, 14. pp. 58-62.

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Introduction Reconstruction of oral and pharyngeal defects after pathologic resections with the same tissue is an optimal and ideal target. Islanded variety of inferiorly pedicled facial artery musculomucosal flap, in which facial artery and vein are skeletonized (referred to as inferiorly based BUMIF), is suitable for reconstruction of medium-sized mucosal defects. Presentation of cases In this article, with four cases, modifications of this flap are demonstrated in reconstruction of large intraoral and oropharyngeal defects and coverage of alveolar ridge in the mandible. Discussion In some situations, there is a need for more mucosal paddle, longer vascular pedicle and more adaptation to the recipient bed. Conclusion Relocating Stensen's duct increases the mucosal paddle with cranial extension of superior limit while differential incision of the mucosa and buccinator muscle in mandibular vestibule extend the lower limit of this flap. Bone suture is a good complementary technique when this flap is used for coverage of mandibular alveolar ridge. Inferiorly based BUMIF with added length is indicated for oropharyngeal and contralateral mouth floor reconstructions. © 2015 The Authors. Published by Elsevier Ltd.

Item Type: Article
Additional Information: Cited By :2 Export Date: 16 February 2020 Correspondence Address: Khajehahmadi, S.; Dental Research Center, Oral and Maxillofacial Pathology, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Blvd, P.O. Box 91735-984, Iran
Uncontrolled Keywords: Buccinator flap Facial artery Oral cavity reconstruction Oropharyngeal reconstruction adult aged alveolar ridge Article cancer survival case report cheek mucosa complementary bone suture extended length flap female human inferiorly based buccinator myomucosal island flap island flap large mucosal paddle male middle aged mouth oral surgery priority journal squamous cell carcinoma supraomohyoid neck disection very elderly
Subjects: WU Dentistry. Oral surgery
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib5 lib5
Date Deposited: 26 Apr 2020 03:58
Last Modified: 26 Apr 2020 03:58

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