Van Lierop A C, Fagan J J
Division of Otolaryngology, University of Cape Town Medical School, South Africa.
J Laryngol Otol. 2008 Feb;122(2):181-7. doi: 10.1017/S0022215107008353. Epub 2007 May 22.
The buccinator musculomucosal flap is an axial-pattern flap based on either the buccal or the facial artery. We present our experience with this flap and describe its surgical anatomy, the surgical techniques utilised to raise the flap and its clinical applications.
We retrospectively reviewed all patients who had had buccinator myomucosal flaps created at the Groote Schuur Hospital between 1999 and 2004. Patients were also recalled to assess flap sensation and to record reduction of mouth opening as a consequence of donor site scarring.
Of the 14 patients who had had a buccinator myomucosal flap created, there was one flap failure. Sensation was present in 71 per cent of flaps, and there was no trismus due to donor site scarring.
The buccinator myomycosal flap is a dependable flap with good functional outcome and low morbidity.
颊肌黏膜瓣是一种基于颊动脉或面动脉的轴型皮瓣。我们介绍了使用该皮瓣的经验，并描述了其手术解剖结构、掀起皮瓣所采用的手术技术及其临床应用。
我们回顾性分析了1999年至2004年在格罗特·舒尔医院接受颊肌黏膜瓣手术的所有患者。还召回患者以评估皮瓣感觉，并记录由于供区瘢痕导致的开口度减小情况。
在14例接受颊肌黏膜瓣手术的患者中，有1例皮瓣失败。71%的皮瓣有感觉，且没有因供区瘢痕导致的牙关紧闭。
颊肌黏膜瓣是一种可靠的皮瓣，功能效果良好，发病率低。
