Korean Journal of Otorhinolaryngology-Head and Neck Surgery

Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회)
권호 표지
DOI QR코드

DOI QR Code

Bozola Flap for Oral Cavity Reconstruction in Patients with Tongue Cancer

Bozola Flap을 이용한 설암 환자의 구강 재건술

  • Kwak, Ji Hye (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University) ;
  • Lee, Gil Joon (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University) ;
  • Sohn, Jin Ho (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University) ;
  • Ahn, Dongbin (Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University)
  • 곽지혜 (경북대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이길준 (경북대학교 의과대학 이비인후-두경부외과학교실) ;
  • 손진호 (경북대학교 의과대학 이비인후-두경부외과학교실) ;
  • 안동빈 (경북대학교 의과대학 이비인후-두경부외과학교실)
  • Received : 2018.03.25
  • Accepted : 2018.06.28
  • Published : 2018.11.25
⟨ Previous Next ⟩

Abstract

Background and Objectives The purpose of the present study was to evaluate the usefulness of a posterior-based buccinator myomucosal flap (the Bozola flap) for the reconstruction of oral cavity defects after tongue cancer resection. Subjects and Method Fifteen patients who underwent from 2014 to 2016 reconstruction of the oral cavity with a Bozola flap after surgical management of tongue cancer were enrolled in the study. Patient characteristics, surgical outcomes, and complications associated with the Bozola flap were evaluated. Results The flap was successfully harvested and transferred in all patients. The mean flap harvesting time was 25.3 min. The donor site was closed primarily in 14 patients, and a buccal fat pad flap was used in one patient. Although partial necrosis of the flap occurred in two patients, no other major complications were noted. Conclusion The results of this study demonstrate that the Bozola flap is a good option for reconstruction of moderate sized oral cavity defects in tongue cancer patients.

Keywords

References

  1. Adelstein D, Gillison ML, Pfister DG, Spencer S, Adkins D, Brizel DM, et al. NCCN guidelines insights: head and neck cancers, version 2.2017. J Natl Compr Canc Netw 2017;15(6):761-70. https://doi.org/10.6004/jnccn.2017.0101
  2. Kim JW, Choi EC, Cha IH, Kim YH, Kim YM, Shin JW, et al. Postoperative assessment of speech and swallowing functions in oral tongue cancer. Korean J Otorhinolaryngol-Head Neck Surg 2004;47(4):340-8.
  3. Amit M, Na'ara S, Leider-Trejo L, Akrish S, Cohen JT, Billan S, et al. Improving the rate of negative margins after surgery for oral cavity squamous cell carcinoma: a prospective randomized controlled study. Head Neck 2016;38 Suppl 1:E1803-9. https://doi.org/10.1002/hed.24320
  4. Varvares MA, Poti S, Kenyon B, Christopher K, Walker RJ. Surgical margins and primary site resection in achieving local control in oral cancer resections. Laryngoscope 2015;125(10):2298-307. https://doi.org/10.1002/lary.25397
  5. Woo SH, Jeong HS, Kim JP, Park JJ, Ryu J, Baek CH. Buccinator myomucosal f lap for reconstruction of glossectomy defects. Otolaryngol Head Neck Surg 2013;149(2):226-31. https://doi.org/10.1177/0194599813487492
  6. Miller MJ, Reece GP, Marchi M, Baldwin BJ. Lateral thigh free flap in head and neck reconstruction. Plast Reconstr Surg 1995;96(2):334-40. https://doi.org/10.1097/00006534-199508000-00011
  7. Urken ML, Weinberg H, Buchbinder D, Moscoso JF, Lawson W, Catalano PJ, et al. Microvascular free flaps in head and neck reconstruction: report of 200 cases and review of complications. Arch Otolaryngol Head Neck Surg 1994;120(6):633-40. https://doi.org/10.1001/archotol.1994.01880300047007
  8. Lim YS, Oh JK, Kim JT. Intraoral reconstruction with buccinator myomucosal flap. J Korean Soc Plast Reconstr Surg 2004;31(6):800-4.
  9. Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E. Myomucosal cheek flaps: applications in intraoral reconstruction using three different techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108(3):353-9. https://doi.org/10.1016/j.tripleo.2009.04.021
  10. Ferrari S, Copelli C, Bianchi B, Ferri A, Sesenna E. The Bozola flap in oral cavity reconstruction. Oral Oncol 2012;48(4):379-82. https://doi.org/10.1016/j.oraloncology.2011.10.016
  11. Bozola AR, Gasques JA, Carriquiry CE, Cardoso de Oliveira M. The buccinator musculomucosal flap: anatomic study and clinical application. Plast Reconstr Surg 1989;84(2):250-7. https://doi.org/10.1097/00006534-198908000-00010
  12. Ayad T, Kolb F, De Mones E, Mamelle G, Temam S. Reconstruction of floor of mouth defects by the facial artery musculo-mucosal flap following cancer ablation. Head Neck 2008;30(4):437-45. https://doi.org/10.1002/hed.20722
  13. Zhao Z, Zhang Z, Li Y, Li S, Xiao S, Fan X, et al. The buccinator musculomucosal island flap for partial tongue reconstruction. J Am Coll Surg 2003;196(5):753-60. https://doi.org/10.1016/S1072-7515(03)00100-5
  14. Pribaz J, Stephens W, Crespo L, Gifford G. A new intraoral flap: facial artery musculomucosal (FAMM) flap. Plast Reconstr Surg 1992;90(3):421-9. https://doi.org/10.1097/00006534-199209000-00009
  15. Patel UA, Hartig GK, Hanasono MM, Lin DT, Richmon JD. Locoregional flaps for oral cavity reconstruction: a review of modern options. Otolaryngol Head Neck Surg 2017;157(2):201-9. https://doi.org/10.1177/0194599817700582
  16. Joo YH, Hwang SH, Park JO, Cho KJ, Kim MS. Functional outcome after partial glossectomy with reconstruction using radial forearm free flap. Auris Nasus Larynx 2013;40(3):303-7. https://doi.org/10.1016/j.anl.2012.07.012
  17. Kimata Y, Sakuraba M, Hishinuma S, Ebihara S, Hayashi R, Asakage T, et al. Analysis of the relations between the shape of the reconstructed tongue and postoperative functions after subtotal or total glossectomy. Laryngoscope 2003;113(5):905-9. https://doi.org/10.1097/00005537-200305000-00024
  18. Massarelli O, Baj A, Gobbi R, Soma D, Marelli S, De Riu G, et al. Cheek mucosa: a versatile donor site of myomucosal flaps. Technical and functional considerations. Head Neck 2013;35(1):109-17. https://doi.org/10.1002/hed.22933
  19. Ferrari S, Balestreri A, Bianchi B, Multinu A, Ferri A, Sesenna E. Buccinator myomucosal island flap for reconstruction of the floor of the mouth. J Oral Maxillofac Surg 2008;66(2):394-400. https://doi.org/10.1016/j.joms.2006.10.036
  20. Tsai PT, Shieh YS, Wu CT, Lee SP, Chen YW. Buccal mucosa elasticity influences surgical margin determination in buccal carcinoma resection. J Oral Maxillofac Surg 2016;74(9):1900.e1-7. https://doi.org/10.1016/j.joms.2016.04.036
  21. Ahn D, Lee GJ, Sohn JH. Reconstruction of oral cavity defect using versatile buccinator myomucosal flaps in the treatment of cT2-3, N0 oral cavity squamous cell carcinoma: feasibility, morbidity, and functional/oncological outcomes. Oral Oncol 2017;75:95-9. https://doi.org/10.1016/j.oraloncology.2017.11.007
  22. Van Lierop AC, Fegan JJ. Buccinator myomucosal flap: clinical results and revies of anatomy, surgical technique and applications. J Laryngol Otol 2008;122(2):181-7. https://doi.org/10.1017/S0022215107008353
  23. de Vicente JC, de Villalain L, Torre A, Pena I. Microvascular free tissue transfer for tongue reconstruction after hemiglossectomy: a functional assessment of radial forearm versus anterolateral thigh flap. J Oral Maxillofac Surg 2008;66(11):2270-5. https://doi.org/10.1016/j.joms.2008.01.018
  24. Canis M, Weiss BG, Ihler F, Hummers-Pradier E, Matthias C, Wolff HA. Quality of life in patients after resection of pT3 lateral tongue carcinoma: microvascular reconstruction versus primary closure. Head Neck 2016;38(1):89-94. https://doi.org/10.1002/hed.23862
  25. Hsiao HT, Leu YS, Lin CC. Primary closure versus radial forearm flap reconstruction after hemiglossectomy: functional assessment of swallowing and speech. Ann Plast Surg 2002;49(6):612-6. https://doi.org/10.1097/00000637-200212000-00010