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Cheek mucosa: A versatile donor site of myomucosal flaps. Technical and functional considerations

Authors

  • Olindo Massarelli MD, PhD, FEBOMFS,

    1. Unità Operativa Complessa di Chirurgia Maxillo–Facciale, Azienda Ospedaliero–Universitaria di Sassari, Università degli Studi di Sassari, Sassari, Italia
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  • Alessandro Baj MD,

    1. Unità Operativa Complessa di Chirurgia Maxillo–Facciale, Fondazione IRCCS Ca' Granda, Policlinico Milano, Università degli Studi di Milano, Milano, Italia
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  • Roberta Gobbi MD, PhD, FEBOMFS,

    Corresponding author
    1. Unità Operativa Complessa di Chirurgia Maxillo–Facciale, Azienda Ospedaliero–Universitaria di Sassari, Università degli Studi di Sassari, Sassari, Italia
    • FEBOMFS, Via Vardabasso 7/d, 07100, Sassari, Italy
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  • Damiano Soma MD,

    1. Unità Operativa Complessa di Chirurgia Maxillo–Facciale, Azienda Ospedaliero–Universitaria di Sassari, Università degli Studi di Sassari, Sassari, Italia
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  • Stefano Marelli MD,

    1. Unità Operativa Complessa di Chirurgia Maxillo–Facciale, Fondazione IRCCS Ca' Granda, Policlinico Milano, Università degli Studi di Milano, Milano, Italia
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  • Giacomo De Riu MD, FEBOMFS,

    1. Unità Operativa Complessa di Chirurgia Maxillo–Facciale, Azienda Ospedaliero–Universitaria di Sassari, Università degli Studi di Sassari, Sassari, Italia
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  • Antonio Tullio MD,

    1. Unità Operativa Complessa di Chirurgia Maxillo–Facciale, Azienda Ospedaliero–Universitaria di Sassari, Università degli Studi di Sassari, Sassari, Italia
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  • Aldo B. Giannì MD

    1. Unità Operativa Complessa di Chirurgia Maxillo–Facciale, Fondazione IRCCS Ca' Granda, Policlinico Milano, Università degli Studi di Milano, Milano, Italia
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Abstract

Background

Reconstruction of moderate-sized mucosal defects of the oral cavity/oropharynx represents a surgical challenge. The most widely used reconstructive techniques are skin grafts, local or regional pedicled flaps, and free flaps, but they do not provide mucosal sensitivity, mobility, volume, or texture similar to that of native tissue. The cheek myomucosal flaps seem to provide “ideal reconstruction” because they carry a thin, mobile, well-vascularized, and sensitive tissue, like those excised or lost. The purpose of this retrospective analysis was to evaluate the indications for the advantages and disadvantages of 6 types of buccinator myomucosal flaps which are possible to raise from the cheek mucosa.

Methods

Sixty-nine buccinator myomucosal flaps were performed on 66 patients with moderate-sized postoncologic and posttraumatic oral and oropharyngeal defects.

Results

In all cases except 1, flaps were successfully used with excellent oncological and functional results.

Conclusion

Buccinator myomucosal flaps can be considered “ideal flaps” for three-dimensional oral and oropharyngeal reconstructions. © 2012 Wiley Periodicals, Inc. Head Neck, 2013

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