A buccinator flap operation aims to lengthen the soft palate. The surgeon moves some of the lining of the inside of the cheek on its blood supply to make the soft. [1] published the first anatomic description of a posterior buccinator myomucosal flap based on the buccal branch of the internal maxillary artery (Fig. 1), not to be. The buccinator myomucosal flap is effective in reducing/eliminating hypernasality in patients with cleft palate (± lip) and velopharyngeal insufficiency.

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Buccinator-based myomucosal flaps in intraoral reconstruction: A review and new classification

BMF is one such type of intraoral flap that has been commonly used to reconstruct various intraoral defects such as oral cavity defects after oncologic resection. Skin grafts may not adhere to exposed bone and involve placement of a bolster that may be technically difficult in this area. A rich venous drainage system is composed of the internal maxillary vein and pterygoid plexus posteriorly and from facial vein tributaries anteriorly.

Br J Oral Maxillofac Surg. Create a free personal account to download free article PDFs, sign up for alerts, and more.

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Buccinator myomucosal flap, cleft palate, palatal fistula, velopharyngeal insufficiency. The length to breadth ratio of the flap was about 1: Surgical procedure All patients were subjected to repair of palatoplasty complications secondary palatal fistula or VPI under general anesthesia with oral endotracheal intubation.


Facial artery is incorporated in the base of the flap. Soft palate repair by levator muscle reconstruction and buccal mucosal flap. The patient was discharged home on postoperative day 1 on a soft solid diet.

Cheek flap for short palates. Note the flap outline anterior to the stensen duct and incorporation of some fibers of orbicularis oris muscle in flap. Incidence of palatal fistula after palatoplasty with levator veli palatini retropositioning according to Sommerlad. Nasal lining in partial cleft palate repair.

Our patients, when tested over the area of reconstruction in the early postoperative period, reported fine-touch perception, and this may aid in oral rehabilitation. The modified Nagpur technique. Making incisions on the marked out lines, BMFs were raised from the donor site, and immediately transferred to the recipient site to repair the defect.

Cleft palate is one of the most common congenital abnormalities of the orofacial region throughout the world. While this flap can be used in previously irradiated fields, the risk of partial loss may be higher.

An institutional experience with two-stage palatal repair. Case 6 The patient was a year-old man with biopsy proven central giant cell granuloma buccinstor the mandible CGCG with bone perforation and soft tissue involvement.

Buccinator flap as a method for palatal fistula and VPI management

Donor site closed primarily. Purchase access Subscribe to JN Learning for one buccinztor. A BMF was raised intraorally and rotated on its posterior neurovascular pedicle into the defect. In addition, external carotid artery resection or thrombosis may also jeopardize the viability of this flap.


The BMF provides sensate coverage for a variety of posterior oral cavity and oropharyngeal defects, and we have used it for reconstruction of defects involving the retromolar trigone, soft palate, and posterior floor of mouth. This was evaluated by light touch with a tongue depressor over the mucosa of the transposed flap.

The tumor is excised and the defect is sized Figure 1 and Figure 2.

The flap was secured with slow absorbing sutures and the donor site was closed primarily. Table 3 Buccinator-based myomucosal pedicled flaps and their pivot points. Applications in Intraoral Reconstruction.

Stensen duct buccinatkr buccinator muscle slightly above its center. The buccopharyngeal fascia should be preserved for 2 reasons: How to cite this URL: J Oral Maxillofac Surg. Sign in to access your subscriptions Sign in to your personal account.

Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Buccinator myomucosal flap in cleft palate repair: