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Lateral Oropharyngeal Wall Coverage with Buccinator Myomucosal and Buccal Fat Pad Flaps

Authors
 Bok Ki Jung  ;  Seung Yong Song  ;  Se-Heon Kim  ;  Young Seok Kim  ;  Won Jai Lee  ;  Jong Won Hong  ;  Tai Suk Roh  ;  Dae Hyun Lew 
Citation
 Archives of Plastic Surgery, Vol.42(4) : 453-460, 2015 
Journal Title
 Archives of Plastic Surgery 
ISSN
 2234-6163 
Issue Date
2015
Abstract
BACKGROUND: Reconstruction of oropharyngeal defects after resection of oropharyngeal cancer is a significant challenge. The purpose of this study is to introduce reconstruction using a combination of a buccinator myomucosal flap and a buccal fat pad flap after cancer excision and to discuss the associated anatomy, surgical procedure, and clinical applications. METHODS: In our study, a combination of a buccinator myomucosal flap with a buccal fat pad flap was utilized for reconstruction after resection of oropharyngeal cancer, performed between 2013 and 2015. After oropharyngectomy, the defect with exposed vital structures was noted. A buccinator myomucosal flap was designed and elevated after an assessment of the flap pedicle. Without requiring an additional procedure, a buccal fat pad flap was easily harvested in the same field and gently pulled to obtain sufficient volume. The flaps were rotated and covered the defect. In addition, using cadaver dissections, we investigated the feasibility of transposing the flaps into the lateral oropharyngeal defect. RESULTS: The reconstruction was performed in patients with squamous cell carcinoma. The largest tumor size was 5 cm×2 cm (length×width). All donor sites were closed primarily. The flaps were completely epithelialized after four weeks, and the patients were followed up for at least six months. There were no flap failures or postoperative wound complications. All patients were without dietary restrictions, and no patient had problems related to mouth opening, swallowing, or speech. CONCLUSIONS: A buccinator myomucosal flap with a buccal fat pad flap is a reliable and valuable option in the reconstruction of oropharyngeal defects after cancer resection for maintaining functionality.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141372
DOI
10.5999/aps.2015.42.4.453
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실)
Yonsei Authors
김세헌(Kim, Se Heon) ; 김영석(Kim, Young Seok) ; 노태석(Roh, Tai Suk) ; 송승용(Song, Seung Yong) ; 유대현(Lew, Dae Hyun) ; 이원재(Lee, Won Jai) ; 홍종원(Hong, Jong Won)
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