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Rational and simplified nomenclature for buccinator myomucosal flaps

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Abstract

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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Authors and Affiliations

  1. Department of Maxillofacial Surgery, Sassari University Hospital, Viale San Pietro 43B, 07100, Sassari, Italy

    Olindo Massarelli, Luigi Angelo Vaira, Andrea Biglio, Roberta Gobbi & Giacomo De Riu

  2. Department of ENT, University of Campania “Luigi Vanvitelli” Hospital, Via Pansini 5, 08131, Naples, Italy

    Pasquale Piombino

Authors
  1. Olindo Massarelli
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  2. Luigi Angelo Vaira
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  3. Andrea Biglio
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  4. Roberta Gobbi
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  5. Pasquale Piombino
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  6. Giacomo De Riu
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Corresponding author

Correspondence to Luigi Angelo Vaira.

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Written consent was obtained to publish clinical photographs.

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Luigi Angelo Vaira is the co-first author

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Massarelli, O., Vaira, L.A., Biglio, A. et al. Rational and simplified nomenclature for buccinator myomucosal flaps. Oral Maxillofac Surg 21, 453–459 (2017). https://doi.org/10.1007/s10006-017-0655-9

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  • DOI: https://doi.org/10.1007/s10006-017-0655-9

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