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Myomucosal cheek flaps: applications in intraoral reconstruction using three different techniques
Bernardo Bianchi1, Andrea Ferri, Silvano Ferrari
1Chief Assistant, Maxillofacial Surgery Division, Head and Neck Department, University and Hospital of Parma, Parma, Italy.
Summary
Buccinator musculomucosal flaps offer effective intraoral reconstruction for moderate defects. Careful patient and defect assessment ensures optimal flap selection and successful outcomes in oral cancer surgery.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Oncology
Background:
- Myomucosal flaps from the cheek are increasingly used for intraoral reconstruction.
- Existing literature details various techniques but lacks a comprehensive summary of buccinator myomucosal flaps.
- This study focuses on three key buccinator myomucosal flaps.
Purpose of the Study:
- To summarize and compare three primary buccinator myomucosal flap techniques for intraoral reconstruction.
- To clarify the applications, indications, advantages, and disadvantages of each flap.
- To provide guidance on flap selection for oral cavity defects.
Main Methods:
- Retrospective study of 46 patients undergoing oral cavity cancer resection and reconstruction.
- Analysis of reconstructions utilizing buccinator musculomucosal flap, facial artery musculomucosal flap, and buccinator musculomucosal island flap.
Main Results:
- All harvested flaps were successfully transposed.
- A single case of complete flap loss was observed.
- Two cases experienced marginal flap necrosis, healing spontaneously within two weeks.
Conclusions:
- Buccinator musculomucosal flaps are suitable for reconstructing moderate-sized oral cavity defects.
- Optimal flap selection requires consideration of defect characteristics, patient factors, and surgical approach.
- These flaps represent a viable option in oral cancer reconstruction.