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Buccinator Myomucosal Flap for Wide Cleft Palate  

Nam, Seung Min (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Tark, Min Seong (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Kim, Cheol Han (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Park, Eun Soo (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Kang, Sang Gue (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Kim, Young Bae (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
Publication Information
Archives of Plastic Surgery / v.34, no.6, 2007 , pp. 748-752 More about this Journal
Abstract
Purpose: The goal of palatoplasty is focused on two points. One is to close the palatal defect completely, and the other to create a velopharyngeal system for normal speech. While established methods such as pushback palatoplasty or double opposing Z palatoplasty are used in wide cleft palate repair, sequelae such as maxillary hypoplasia or oronasal fistula may result. Therefore, when palatoplasty with buccinator myomucosal flap is used in the case of wide cleft palates, maxillary hypoplasia and oronasal fistula is reduced and optimal results are obtained. Methods: From October 2005 to December 2006, four children with wide complete cleft palate underwent unilateral buccinator myomucosal flap and intravelar veloplaty. Mean age at cleft repair was 15 months, and mean cleft size was 2.15 cm. The patients underwent intravelar veloplasty and palatoplasty was done using unilateral buccinator myomucosal flap. Results: The patients, after mean 10 months of follow-up observation, showed no signs of oronasal fistula resulting from flap tension. The shape and color similar to normal oral mucosa was obtained, and velopharyngeal function was acquired. Conclusion: When intravelar veloplasty and palatoplasty with unilateral buccinator myomucosal flap is done on wide cleft palates, postoperative speech function is optimal, velopharyngeal incompetence is effectively corrected, and sequelae resulting from pushback palatoplasty and double opposing Z-plasty, such as maxillary hypoplasia and oronasal fistula, is reduced.
Keywords
Buccinator myomucosal flap; Cleft palate;
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1 Mann RJ, Fisher DM: Bilateral buccal flaps with double opposing Z-plasty for wider palatal clefts. Plast Reconstr Surg 100: 1139, 1997   DOI
2 Nakakita N, Maeda K, Ojimi H, Utsugi R, Maekawa J: The modified buccal musculomucosal flap method for cleft palate surgery. Plast Reconstr Surg 88: 421, 1991   DOI
3 Kang JS: Plastic Surgery. 3rd ed. Seuol, Gunza, 2004, p 2397
4 Kriens OB: An anatomical approach to veloplasty. Plast Reconstr Surg 43: 29, 1969   DOI   ScienceOn
5 Bozola AR, Gasques JA, Carriquiry CE, Cardoso de Oliveria M: The buccinator musculomucosal flap: anatomic study and clinical application. Plast Reconstr Surg 84: 250, 1989   DOI   ScienceOn
6 Randall P, LaRossa D, Solomon M, Cohen M: Experience with the Furlow double reversing Z-plasty for cleft palate repair. Plast Reconstr Surg 77: 569, 1986
7 Sommerlad BC: A Technique for cleft palate repair. Plast Reconstr Surg 112: 1542, 2003   DOI   ScienceOn
8 Zhao Z, Li S, Yan Y, Li Y, Yang M, Mu L, Huang W, Liu Y, Zhai H, Jin J, Ma X: New buccinator myomucosal island flap: anatomic study and clinical application. Plast Reconstr Surg 104: 55, 1999   DOI
9 Kaplan EN: Soft palate repair by levator muscle reconstruction and a buccal mucosal flap. Plast Reconstr Surg 56: 129, 1975   DOI   ScienceOn