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Three-dimensional primary reconstruction of anterior mouth floor and ventral tongue using the 'trilobed' buccinator myomucosal island flap

Massarelli, Olindo and Gobbi, Roberta and Raho, Maria Teresa and Tullio, Antonio (2008) Three-dimensional primary reconstruction of anterior mouth floor and ventral tongue using the 'trilobed' buccinator myomucosal island flap. International Journal of Oral and Maxillofacial Surgery, Vol. 37 (10), p. 917-922. ISSN 0901-5027. Article.

Full text not available from this repository.

DOI: 10.1016/j.ijom.2008.07.020

Abstract

Three-dimensional reconstruction of the anterior mouth floor and ventral tongue after ablative surgery can be achieved using several techniques. The ideal reconstruction should be accomplished with the same or similar type of tissue, and cheek axial myomucosal flaps based on the branches of facial or internal maxillary arteries seem ideal for this purpose. From March 2005 to May 2007, 23 patients underwent cheek axial myomucosal flap reconstruction after oral cancer surgical ablation. Thanks to their thinness and pliability, these flaps were frequently shaped to obtain an accurate reconstruction. According to Whetzel’s hypothesis, an intraoral flap designed to include the axial vessel of one area can safely carry the mucosa of a neighbouring vascular area. The authors describe a large buccinator myomucosal island flap based on the branches of the facial artery and formed in a trilobed shape in order to capture the adjacent buccal mucosal angiosome from the internal maxillary artery. The flap provided the correct anatomical oral reconstruction for the anterior mouth floor and ventral tongue. The function of the tongue, oral intake and mastication were not impaired. The trilobed buccinator myomucosal island flap is a suitable option for the three-dimensional reconstruction of the anterior mouth floor and ventral tongue.

Item Type:Article
ID Code:1368
Status:Published
Refereed:Yes
Uncontrolled Keywords:Buccinator myomucosal flap, island flap, tongue reconstruction, mouth floor reconstruction
Subjects:Area 06 - Scienze mediche > MED/29 Chirurgia maxillofacciale
Divisions:001 Università di Sassari > 03 Istituti > Clinica odontoiatrica
Publisher:Elsevier
ISSN:0901-5027
Copyright Holders:© 2008 Published by Elsevier Ltd on behalf of International Association of Oral and
Deposited On:18 Aug 2009 10:04

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