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Revista Española de Cirugía Oral y Maxilofacial

On-line version ISSN 2173-9161Print version ISSN 1130-0558


GONZALEZ GARCIA, R. et al. The buccinator myomucosal flap for the reconstruction of defects in the maxillofacial area. Rev Esp Cirug Oral y Maxilofac [online]. 2005, vol.27, n.4, pp.197-205. ISSN 2173-9161.

The buccinator myomucosal flap (BMF) constitutes a valid alternative for the reconstruction of moderate defects of the oral cavity. It is characterized by a good pliability, excellent color and texture and minimum donor site morbidity. In this report, the anatomical particularities and the different surgical techniques for BMF are described. Its use in patients with different defects of the oral cavity illustrates its versatility. We present 4 cases of reconstruction of defects of the maxillofacial area: two cases consisting in squamous cell carcinoma of the floor of the mouth, another patient with melanoma of the oral mucosa and one patient with a palatine fissure. All of them underwent primary reconstruction by means of BMF. Good results were obtained in relation to covering of the defect, aesthetics and function. Morbidity was minimal in the donor site. Due to its anatomical features, an adequate surgical technique must be performed. Proximity of the BMF to the vast majority of defects of the oral cavity, and its acceptable thickness, show the flap to be a reliable reconstructive procedure. This is especially valid in those patients where the size of the defect and the existence of comorbidity advise against the use of other flaps.

Keywords : Buccinator myomucosal flap; Reconstruction; Oral maxillofacial defects.

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