Clin Exp Otorhinolaryngol.  2016 Mar;9(1):85-88. 10.21053/ceo.2016.9.1.85.

Buccinator Myomucosal Flap for Treatment of Osteoradionecrosis of the Mandible

• Woo SH

• KMID: 2166295
• DOI: http://doi.org/10.21053/ceo.2016.9.1.85

Abstract

The use of a myomucosal flap from the buccinator muscle is a valuable reconstruction method for intraoral defects. In this paper, we report the clinical advantages of using a buccinator myomucosal flap for the treatment of partial mandibular defects caused by osteoradionecrosis. We implemented a buccinator myomucosal flap for the reconstruction of a partial mandibular defect in a 55-year-old man with tonsil cancer and partial mandibular defects caused by osteoradionecrosis. The total operating time was 90 minutes. Twelve months after the reconstruction, the patient remains free of disease. A buccinator myomucosal flap can be used for the reconstruction of partial mandibular defects caused by osteoradionecrosis. It is a reliable method for reconstructing small mandibular defects.

Keyword

Osteoradionecrosis; Myocutaneous Flap; Reconstructive Surgical Procedures; Mandibular Reconstruction

MeSH Terms

Humans
Mandible*
Mandibular Reconstruction
Middle Aged
Myocutaneous Flap
Osteoradionecrosis*
Reconstructive Surgical Procedures
Tonsillar Neoplasms

Figure

• 

  Fig. 1. (A) Osteoradionecrosis at the left molar extraction site. (B) Drawing the incision for the harvesting of the buccinator flap. (C) Buccinator flap harvesting. (D) Harvesting of the buccal fat with the buccinator flap. (E) Foundation of the neurovascular pedicle (arrow). (F) Defect area filled with buccal fat and buccinator flap. The donor site was closed with primary suture well-healed (arrows).

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  Fig. 2. (A) One week after surgery, the linear scar was excised at the donor site (arrows). (B) Twelve months after surgery, the donor site and recipient site were well-healed (arrows).

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