Background: Reconstruction of moderate-sized mucosal defects of the oral cavity or oropharynx represents a surgical challenge. Buccinator myomucosal flaps seem to provide "ideal reconstruction" of oral/oropharyngeal defects because they carry a thin, mobile, well-vascularized, and sensitive tissue, like that excised or lost. Nevertheless, these flaps are not immediately popular because of confusion surrounding the complex terminology used to name them.
Methods: After a retrospective study on our experience and a literature review, the authors propose a new rational and simplified nomenclature for the classification of buccinator myomucosal flaps, which clarifies the source vessel, the composition of the flap, and the type of transfer.
Results: According to this nomenclature, six types of buccinator myomucosal flaps are described.
Conclusions: This proposed nomenclature may bring a consensus on the classification of buccinator myomucosal flaps and can help their spread.
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New Classification System and Defect-Oriented Algorithm for Functional Soft-Palate Reconstruction with Buccinator Myomucosal Flaps.
J Clin Med
December 2024
Department of Maxillofacial Surgery, University of Siena, 53100 Siena, Italy.
: Currently, there is a lack of a comprehensive classification system for soft-palate defects that provides synthetic information to guide functional reconstructive treatment. Our awareness, shaped by extensive experience, of the superiority of myomucosal flaps to fasciocutaneous flaps in functional palate reconstruction has driven us to introduce a new defect-based classification system and propose a new algorithm for reconstructing soft-palate defects using buccinator myomucosal flaps. : Soft-palate defects were classified into five classes.
View Article and Find Full Text PDFDemystifying the Suprazygomatic Maxillary Nerve Block in Paediatric Cleft Palate Surgery.
Cleft Palate Craniofac J
September 2024
Spires Cleft Lip and Palate Centre, Salisbury District Hospital, Salisbury, UK.
Objective: To consider the clinical anatomy, safety and effectiveness of the suprazygomatic maxillary nerve block in cleft palate surgery.
Design: Observational case series.
Setting: Single cleft centre in the United Kingdom.
Oropharyngeal reconstruction with buccinator myomucosal island flaps: Functional outcomes and quality of life. A retrospective observational study.
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Otorhinolaryngology Head and Neck Department Clínica Rotger Palma de Mallorca Spain.
Background: The buccinator myomucosal island flaps are an excellent option for "like with like" oropharyngeal reconstruction in selected cases. We report a series of 15 patients and discuss the functional outcomes.
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Review of Current Techniques of Cleft Palate Repair Concerning Palatal Innervation: A Preliminary Assumption.
Cleft Palate Craniofac J
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Otorhinolaryngology, Department of Otorhinolaryngology-Head & Neck Surgery, Zagazig University, Zagazig city, Egypt.
Article Synopsis
- The study focuses on the surgical impacts on the nerves supplying the soft palate and velopharyngeal sphincter during specific repair procedures for patients with persistent velopharyngeal insufficiency.
- The research involved a retrospective analysis of non-syndromic patients, assessing their conditions and outcomes after undergoing surgery at least 60 months prior.
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Does Primary Cleft Palate Repair by Furlow Z-Plasty Technique With a Buccinator Myomucosal Flap Change Speech and Middle Ear Outcomes?
J Craniofac Surg
June 2024
Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Fayoum University, Fayoum, Egypt.
Background: Children with repaired cleft lip and palate may present with middle ear effusion and disturbed speech due to velopharyngeal (VP) insufficiency. Furlow Z-palatoplasty with a buccinator myomucosal flap is one of the effective surgical techniques for primary cleft palate repair and lengthening of the palate.
Purpose Of The Study: This study aimed to evaluate the effect of Furlow Z-palatoplasty with buccal myomucosal flap as a primary cleft palate repair technique on the VP function during speech and the Eustachian tube function.
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