Carstens M H, Stofman G M, Sotereanos G C, Hurwitz D J
Division of Plastic Reconstructive Surgery, University of pittsburgh School of Medicine.
J Craniomaxillofac Surg. 1991 Feb;19(2):64-70. doi: 10.1016/s1010-5182(05)80609-2.
Oral-antral-nasal fistula (OAN) is a commonly encountered clinical problem. The literature is filled with a plethora of methods described for closing a persistent OAN. Local flaps are available to close minor to moderate defects, however, large fistulae can be a very challenging reconstructive problem. Various areas of the oral cavity have been used for closure of OAN. We describe a technique to reconstruct the oral cavity, in this case an OAN. The anteriorly based buccinator myomuosal island pedicle flap (BMIP) provides an alternative method for reconstructing the oral cavity. An extensive review of the literature as well as the anatomy of the buccinator, its reconstructive capabilities, and two case reports are included.
口腔 - 上颌窦 - 鼻腔瘘（OAN）是一个常见的临床问题。文献中描述了大量用于闭合持续性OAN的方法。局部皮瓣可用于闭合轻度至中度缺损，然而，大型瘘管可能是一个极具挑战性的重建问题。口腔的各个部位都已被用于OAN的闭合。我们描述了一种重建口腔的技术，在本病例中是用于重建OAN。以颊肌为蒂的带蒂颊肌黏膜岛状皮瓣（BMIP）为口腔重建提供了一种替代方法。本文包括对文献的广泛综述以及颊肌的解剖结构、其重建能力和两个病例报告。
