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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Soft palate functional reconstruction with buccinator myomucosal island flaps
O Massarelli1, L A Vaira1, R Gobbi1
1Maxillofacial Surgery Unit, University Hospital of Sassari, Sassari, Italy.
International Journal of Oral and Maxillofacial Surgery
|December 12, 2017
Summary
The buccinator myomucosal island flap is an effective option for oropharyngeal reconstruction after surgery. This method offers good functional recovery, high quality of life, and minimal donor site complications.
Area of Science:
- Reconstructive surgery
- Head and neck oncology
- Oral and maxillofacial surgery
Background:
- Oropharyngeal reconstruction presents significant challenges post-ablative surgery.
- The buccinator myomucosal island flap is a reconstructive option for soft palate defects.
Purpose of the Study:
- To evaluate the functional outcomes and complications of buccinator myomucosal island flap reconstruction for total or sub-total soft palate defects.
Main Methods:
- Retrospective study of 17 patients undergoing soft palate reconstruction with buccinator myomucosal island flaps (2008-2016).
- Assessment of flap characteristics, operative time, postoperative complications, sensory recovery, deglutition, quality of life, and donor site morbidity.
Main Results:
- All flaps were successfully transposed with minor donor and recipient site complications.
- Full recovery of touch, pain, and two-point discrimination was observed.
- High scores for deglutition (6.1/7) and quality of life were reported.
- Low donor site morbidity (average score 8.1/9) was noted.
Conclusions:
- Buccinator myomucosal island flaps provide a valuable and functional option for oropharyngeal reconstruction.
- This technique is associated with short operating times and low donor site morbidity.
- The flap ensures good functional recovery and patient quality of life.
