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Rational and simplified nomenclature for buccinator myomucosal flaps
Olindo Massarelli1, Luigi Angelo Vaira2, Andrea Biglio1
1Department of Maxillofacial Surgery, Sassari University Hospital, Viale San Pietro 43B, 07100, Sassari, Italy.
A new classification system for buccinator myomucosal flaps simplifies terminology, aiding oral and oropharyngeal defect reconstruction. This standardized nomenclature clarifies flap characteristics for wider surgical adoption.
Area of Science:
- Oral and Maxillofacial Surgery
- Head and Neck Surgery
- Plastic and Reconstructive Surgery
Background:
- Reconstructing moderate oral/oropharyngeal defects presents surgical challenges.
- Buccinator myomucosal flaps offer ideal tissue characteristics for reconstruction.
- Complex and confusing terminology hinders the popularity of these flaps.
Purpose of the Study:
- To propose a new, rational, and simplified nomenclature for buccinator myomucosal flaps.
- To clarify the source vessel, composition, and transfer type of these flaps.
- To facilitate a consensus and promote the use of buccinator myomucosal flaps.
Main Methods:
- Retrospective analysis of surgical experience.
- Comprehensive literature review on flap terminology.
- Development of a simplified classification system.
Main Results:
- A new nomenclature for buccinator myomucosal flaps is proposed.
- Six distinct types of flaps are described under the new system.
- The nomenclature clarifies key flap attributes.
Conclusions:
- The proposed nomenclature aims to establish a consensus on flap classification.
- Simplified terminology is expected to increase the adoption of buccinator myomucosal flaps.
- This system can aid surgeons in selecting and utilizing these flaps effectively.
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