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.  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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All flaps used in our series were supplied posteriorly as harvested; however, based on our clinical observations, cadaveric studies, and review of the literature, we believe that this flap is adequately supplied from either source alone.
Small branches from the facial artery may require ligation as may anterior venous tributaries from the pterygoid plexus. Plastic and Reconstructive Surgery; p.
Received Apr 6; Accepted Jun The buccal nerve fllap sensory innervation to the mucosa of the cheek.
Light touch perception was demonstrated over the flap at the 1-week clinic follow-up. Case 4 The patient was a year-old edentulous male with mandibular ramus and angle ameloblastoma with perforation of soft tissue lingual to the ridge. Skin grafts may not adhere to exposed bone and involve placement of a bolster that may be technically difficult in this area. Buccinator myomucosal flap, cleft palate, palatal fistula, velopharyngeal insufficiency.
Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more. After 3 days of routine postoperative care, patients were discharged on the 4 th day postoperatively.
Suggested classifications for these flaps are as follows:. Making incisions on the marked out lines, BMFs were raised from the donor site, and immediately transferred to the recipient site to repair the defect. In superior or inferiorly based flaps, the long axis is vertical, but, in posterior or anteriorly based flaps, the long axis is horizontal.
More than palatoplasties have undergone palate repair with the use of BMMFs between and He was free of disease 9 months later with no postoperative sequelae.
Buccal mucosa was first used to repair septal perforations buccinatoor palatal fistulas. All patients were subjected to repair of palatoplasty complications secondary palatal fistula or VPI under general anesthesia with oral endotracheal intubation.
In Table 2new classifications of buccinator-based myomucosal flaps that are suggested by the buccinatod are given. A new approach for repair of oro-antral-nasal fistulae.
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Buccal musculomucosal flap for reconstruction of wide vermilion and orbicularis oils muscle defect. Open in a separate window.
Agrawal K, Panda KN. In this study we used BMFs to repair two major post-palatoplasty complications including secondary palatal fistula and VPI. The buccal nerve, a branch of the mandibular nerve, travels with buccniator artery Figure 7 and Figure 8.
This was demonstrated clearly with both latex and india ink injections, the latter resulting in extensive staining of the mucosa over the buccinator muscle as well as the mucosa of the superior alveolar ridge and lateral soft palate Buccinatof 6.
Pedicled facial buccinator FAB flap: Buccinator musculomucosal flap b inset into defect and the donor site d closed primarily.
Buccinator flap as a method for palatal fistula and VPI management
Eight patients were selected based on the defect anticipated after surgical excision. Random pattern buccinator myomucosal flap without including the buccinayor artery in base covered the defect, therefore, soft tissue dehiscence and the problem of exposed bone cavity was prevented.
Increased fistula risk following palatoplasty in Treacher Collins buccinaor. The buccal artery, a branch of the internal maxillary artery, originates near the lateral aspect of the lateral pterygoid muscle entering the posterior aspect of the buccinator muscle.
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Glandular branches and submental artery are ligated, d Inferiorly based buccinator myomucosal islanded flap that contains facial artery and vein turned under mandibular border and brought medial to the mandible, e Reconstructed defect, f buccal fat pad transposition, g Schematic picture.
Reconstruction of intraoral defects using facial artery musculomucosal flap. Secondary palatal fistula and velopharyngeal insufficiency VPI are two major bjccinator of palatoplasty.