Unità Operativa Complessa di Chirurgia Maxillo-Facciale, Azienda Ospedaliero-Universitaria di Sassari, Università degli Studi di Sassari, Sassari, Italia.
Head Neck. 2013 Jan;35(1):109-17. doi: 10.1002/hed.22933. Epub 2012 Jan 31.
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.
Sixty-nine buccinator myomucosal flaps were performed on 66 patients with moderate-sized postoncologic and posttraumatic oral and oropharyngeal defects.
In all cases except 1, flaps were successfully used with excellent oncological and functional results.
Buccinator myomucosal flaps can be considered "ideal flaps" for three-dimensional oral and oropharyngeal reconstructions.
口腔/口咽中度黏膜缺损的重建是一项具有挑战性的手术。最广泛使用的重建技术是皮片移植、局部或区域带蒂皮瓣和游离皮瓣，但它们不能提供类似于天然组织的黏膜敏感性、活动性、体积和质地。颊肌黏膜瓣似乎提供了“理想的重建”，因为它们携带薄的、可移动的、血供良好且敏感的组织，类似于切除或丢失的组织。本回顾性分析的目的是评估 6 种可能从颊黏膜提起的颊肌黏膜瓣的适应证、优缺点。
对 66 例患有中度肿瘤后和创伤后口腔和口咽缺损的患者进行了 69 次颊肌黏膜瓣手术。
除 1 例外，所有病例均成功使用，且具有良好的肿瘤学和功能结果。
颊肌黏膜瓣可被视为三维口腔和口咽重建的“理想皮瓣”。
