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Cleft Palate Repair Surgical Complications Following Buccinator Myomucosal Flap Surgery
Percy Rossell-Perry1,2, Carolina Romero-Narvaez3
1Health of Science Faculty, School of Human Medicine, Peruvian University Union (UpeU), Lima, Peru.
The Journal of Craniofacial Surgery
|September 2, 2025
Summary
The buccinator musculomucosal flap is a viable option for cleft palate repair, but complications like flap dehiscence and necrosis are common and require careful prevention strategies.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Otolaryngology
Background:
- The buccinator musculomucosal flap is increasingly used for secondary cleft palate deformities.
- Few studies document postoperative complications of this technique.
- This study presents a case series of complications associated with the buccinator flap.
Purpose of the Study:
- To describe surgical complications of the buccinator flap in cleft palate repair.
- To evaluate the incidence of postoperative complications after buccinator flap surgery.
Main Methods:
- Retrospective outcome study of 42 patients undergoing buccinator flap surgery from 2017 to 2024.
- Patients had sequels after primary cleft palate repair, including fistulas, flap necrosis, or velopharyngeal insufficiency.
- Literature review of postoperative complications until November 2024.
Main Results:
- The most common sequels treated were velopharyngeal insufficiency (50%), palatal fistula (26.19%), and mucoperiosteal flap necrosis (23.8%).
- Postoperative complications included flap dehiscence (30.95%) and partial flap necrosis (19.04%).
Conclusions:
- The buccinator flap is a useful alternative for reconstructing cleft palate sequels.
- Potential complications associated with the buccinator flap are not rare and necessitate preventive measures.
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