J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Sep;32(5):454-458.

Use of Double Buccinator Myomucosal Flap for Treating Secondary Velopharyngeal Insufficiency: a Case Report

• Kim TW
• Choi JY

Abstract

Velopharyngeal insufficiency is defined as a status in which nasal cavity and oral cavity can not be separated when speaking, swallowing by any reason. It has been treated by palatorrhaphy, pharyngeal flap, local flap, free flap etc. When the size of the defect is small, it can be restored by palatorrhaphy, pharyngeal flap etc. But they are not proper for treatment of the large size of defect. In that case, local flap and free flap are more beneficial. Although large defect can be restored by free flap technique, but it is very complex, time-consuming and may bring about esthetical, functional complications of donor site. Buccinator myomucosal flap is a kind of local flap and reported for the first time by Bozola et al in 1989 and it has become a useful way for reconstruction of large intraoral defect. Authors experienced the use of buccinators myomucosal flap for treating secondary velopharyngeal insufficiency with large soft palate defect and obtained good result. So we report the case with literature reviews.

Keyword

Buccinator myomucosal flap; Velopharyngeal insufficiency; Cleft palate

MeSH Terms

Cleft Palate
Deglutition
Free Tissue Flaps
Humans
Mouth
Nasal Cavity
Palate, Soft
Tissue Donors
Velopharyngeal Insufficiency