TY - JOUR
T1 - A novel technique for cheek mucosa defect reconstruction using a pedicled buccal fat pad and buccinator myomucosal island flap
AU - Ferrari, Silvano
AU - Ferri, Andrea
AU - Bianchi, Bernardo
AU - Copelli, Chiara
AU - Magri, Alice Sara
AU - Sesenna, Enrico
PY - 2009/1
Y1 - 2009/1
N2 - Reconstruction of cheek mucosa defects following tumor resections can be approached with several techniques, depending on size of the defect. Fasciocutaneous and perforators free flaps are widely employed today for such reconstructions. However, small defects or general health of the patient may limit their indications. Furthermore, approaching moderate size defects, some techniques, like temporalis muscle or fascia pedicled flaps, lead to contracture with limitation of mouth opening or trisma, and others, like intraoral local flaps, do not provide enough tissue for the reconstructions. In this work the authors propose, for reconstructing these kind of defects, the use of a buccinator myomucosal island flap and a buccal fat pad pedicled flap association. A case is reported and the surgical technique is explained. This new reconstructive technique can easily be used for reconstructing moderate-sized cheek defects, achieving optimal results: the internal mucosal lining is restored in few weeks without any retraction, contracture, of scars on the face limiting the aesthetic outcome and mouth opening.
AB - Reconstruction of cheek mucosa defects following tumor resections can be approached with several techniques, depending on size of the defect. Fasciocutaneous and perforators free flaps are widely employed today for such reconstructions. However, small defects or general health of the patient may limit their indications. Furthermore, approaching moderate size defects, some techniques, like temporalis muscle or fascia pedicled flaps, lead to contracture with limitation of mouth opening or trisma, and others, like intraoral local flaps, do not provide enough tissue for the reconstructions. In this work the authors propose, for reconstructing these kind of defects, the use of a buccinator myomucosal island flap and a buccal fat pad pedicled flap association. A case is reported and the surgical technique is explained. This new reconstructive technique can easily be used for reconstructing moderate-sized cheek defects, achieving optimal results: the internal mucosal lining is restored in few weeks without any retraction, contracture, of scars on the face limiting the aesthetic outcome and mouth opening.
KW - Buccal fat pad
KW - Buccinator myomucosal island flap
KW - Cheek mucosa defect
KW - Oral mucosa reconstruction
KW - Oral reconstruction
UR - http://www.scopus.com/inward/record.url?scp=57549085385&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=57549085385&partnerID=8YFLogxK
U2 - 10.1016/j.oraloncology.2008.03.018
DO - 10.1016/j.oraloncology.2008.03.018
M3 - Article
C2 - 18620893
AN - SCOPUS:57549085385
VL - 45
SP - 59
EP - 62
JO - Oral Oncology
JF - Oral Oncology
SN - 1368-8375
IS - 1
ER -