Buccinator Myomucosal Flap for Treatment of Osteoradionecrosis of the Mandible

• Main Author: Seung Hoon Woo
• Format: Article
• Language: English
• Published: Korean Society of Otorhinolaryngology-Head and Neck Surgery 2016-03-01
• Series: Clinical and Experimental Otorhinolaryngology
• Subjects: Osteoradionecrosis; Myocutaneous Flap; Reconstructive Surgical Procedures; Mandibular Reconstruction
• Online Access: http://www.e-ceo.org/upload/pdf/ceo-2016-9-1-85.pdf

The use of a myomucosal flap from the buccinator muscle is a valuable reconstruction method for intraoral defects. In this paper, we report the clinical advantages of using a buccinator myomucosal flap for the treatment of partial mandibular defects caused by osteoradionecrosis. We implemented a buccinator myomucosal flap for the reconstruction of a partial mandibular defect in a 55-year-old man with tonsil cancer and partial mandibular defects caused by osteoradionecrosis. The total operating time was 90 minutes. Twelve months after the reconstruction, the patient remains free of disease. A buccinator myomucosal flap can be used for the reconstruction of partial mandibular defects caused by osteoradionecrosis. It is a reliable method for reconstructing small mandibular defects.