Random Pattern Vertically Oriented, Partial Thickness Buccinator Myomucosal Flap for Intraoral Reconstruction:A...

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic Surgery
• Reconstructive Surgery

Background:

• Investigating novel flap designs for intraoral reconstruction.
• Focusing on flaps incorporating buccal mucosa and buccinator muscle.
• Excluding facial artery and vein in flap design for oral cavity reconstruction.

Observation:

• Utilizing a vertically oriented partial-thickness buccinator myomucosal flap.
• Applying the flap for mandibular anterior vestibule lining in trauma.
• Using the flap for oral coverage of bone graft in cleft patients.

Findings:

• Successful survival of the thin, long buccal myomucosal flap in both cases.
• Achieved good bone coverage with non-keratinized mucosa.
• Demonstrated flap viability without inclusion of the facial artery and vein.

Implications:

• Suggests the potential of buccal myomucosal flaps for diverse intraoral reconstructive needs.
• Highlights a technique for achieving functional and aesthetic oral reconstruction.
• Provides evidence for flap survival in challenging reconstructive scenarios.