Random Pattern Vertically Oriented, Partial Thickness Buccinator Myomucosal Flap for Intraoral Reconstruction: A Report of Two Cases

Document Type : Case Report

Authors

1 Oral and Maxillofacial Diseases Research Center, Oral and Maxillofacial Surgery ,School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Dental Research Center ,Oral and Maxillofacial Pathology , School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction:
Reconstruction of the oral cavity witha flap design containing the buccal mucosa and buccinator muscle but excluding the facial artery and vein is the topic of these case reports.
Case Reports:
This article uses random pattern vertically oriented partial thickness buccinator myomucosal flap for intraoral reconstruction in two cases. The first was for lining the mandibular anterior vestibule in a trauma patient. The second was for oral side coverage of bone graft in special cleft patient. In both patients, this flap survived and good bone coverage with non-keratinized mucosa was obtained.
Conclusion: 
Thin long buccal myomucosal flap not including facial artery and vein can survive.

Keywords

Main Subjects

References

1. Pribaz J, Stephens W, Crespo L, Gifford G. A new intraoral flap: facial artery musculomucosal (FAMM) flap. Plast Reconstr Surg 1992; 90(3): 421-9.
2. Joshi A, Rajendraprasad JS, Shetty K. Reconstruction of intraoral defects using facial artery musculomucosal flap. Br J Plast Surg 2005; 58(8):1061-6.
3. Zhao Z, Li S, Yan Y, Li Y, Yang M, Mu L, et al. New buccinator myomucosal island flap: anatomic study and clinical application. Plast Reconstr Surg 1999;104(1):55-64.
4. Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E. Myomucosal cheek flaps: applications in intraoral reconstruction using three different techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 ;108(3):353-9
5. Rahpeyma A, Khajehahmadi S. Buccinator-based myomucosal flaps in intraoral reconstruction: A review and new classification. Natl J Maxillofac Surg 2013;4(1):25-32.
6. Dupoirieux L, Plane L, Gard C, Penneau M. Anatomical basis and results of the facial artery musculomucosal flap for oral reconstruction. Br J Oral Maxillofac Surg 1999;37(1):25-8.
7.  O'Leary P, Bundgaard T. Good results in patients with defects after intraoral tumour excision using facial artery musculo-mucosal flap. Dan Med Bull 2011 ;58(5):A4264.
8.  Rossell-Perry P, Arrascue HM. The nasal artery musculomucosal cutaneous flap in difficult palatal fistula closure. Craniomaxillofac Trauma Reconstr 2012;5(3):175-84.
9.   Oberna F1, Takácsi-Nagy Z, Réthy A, Pólus K, Kásler M. Buccal mucosal transposition flap for reconstruction of oropharyngeal-oral cavity defects: an analysis of six cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99(5):550-3.
10. Rivera-Serrano CM, Oliver CL, Sok J, Prevedello DM, Gardner P, Snyderman CH, et al. Pedicled facial buccinator (FAB) flap: a new flap for reconstruction of skull base defects. Laryngoscope 2010;120(10):1922-30.
11. Zhou XT. Effects of tissue expansion on the ratio of length to width of random-pattern skin flaps. Zhonghua Wai Ke Za Zhi 1989;27(7):417-        8, 445.
Iranian Journal of Otorhinolaryngology
Volume 28, Issue 3 - Serial Number 3
May and June 2016
Pages 227-231

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