Massarelli Olindo, Vaira Luigi Angelo, Biglio Andrea, Gobbi Roberta, Piombino Pasquale, De Riu Giacomo
Department of Maxillofacial Surgery, Sassari University Hospital, Viale San Pietro 43B, 07100, Sassari, Italy.
Department of ENT, University of Campania "Luigi Vanvitelli" Hospital, Via Pansini 5, 08131, Naples, Italy.
Oral Maxillofac Surg. 2017 Dec;21(4):453-459. doi: 10.1007/s10006-017-0655-9. Epub 2017 Sep 21.
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.
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.
According to this nomenclature, six types of buccinator myomucosal flaps are described.
This proposed nomenclature may bring a consensus on the classification of buccinator myomucosal flaps and can help their spread.
口腔或口咽中等大小黏膜缺损的重建是一项外科挑战。颊肌黏膜瓣似乎能为口腔/口咽缺损提供“理想重建”，因为它们带有薄的、可移动的、血供良好且敏感的组织，类似被切除或缺失的组织。然而，由于围绕这些瓣的命名使用的复杂术语存在混淆，这些瓣并未立即受到欢迎。
在对我们的经验进行回顾性研究并查阅文献后，作者提出了一种用于颊肌黏膜瓣分类的新的合理且简化的命名法，该命名法明确了供血血管、瓣的组成以及转移类型。
根据这种命名法，描述了六种类型的颊肌黏膜瓣。
这种提议的命名法可能会在颊肌黏膜瓣的分类上达成共识，并有助于其推广。
