Modified Buccal Myomucosal Flap Closure of Large Anterior Palatal Oronasal Fistulas

Kalmar, Christopher L.; Siu, Armando; Alvarez, Edwar; Swanson, Jordan W.

doi:10.1097/prs.0000000000007496

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…The publications covered STSTs from 1989 to 2021, with one study from the 1980s, 18 five from the 1990s, 19–23 15 from the 2000s, 24,25,34–38,26–33 and 26 from 2010 to 2021 39,40,49–58,41,59–61,42–48 . The average study period was 4.14 years with a range of one week to 25 years.…”

Section: Resultsmentioning

confidence: 99%

“…The publications covered STSTs from 1989 to 2021, with one study from the 1980s, 18 five from the 1990s, [19][20][21][22][23] 15 from the 2000s, 24,25,[34][35][36][37][38][26][27][28][29][30][31][32][33] and 26 from 2010 to 2021. 39,40,[49][50][51][52][53][54][55][56][57][58]41,[59][60][61][42][43][44][45][46][47][48] The average study period was 4.14 years with a range of one week to 25 years.…”

Section: Categorization and Timingmentioning

confidence: 99%

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Outcomes of Short‐Term Surgical Trips in Otolaryngology—Head and Neck Surgery: A Scoping Review

et al. 2023

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ObjectiveThis scoping review aims to explore the current body of literature to characterize how short‐term surgical trips (STSTs) in Otolaryngology‐Head and Neck Surgery (OtoHNS) contribute to surgical, educational, and sustainability‐based outcomes in low‐ and middle‐income countries (LMICs). We aim to use these data to synthesize aspects of STSTs that are successful with the hopes of shaping future global efforts.Data SourcesData sources included Ovid MEDLINE, Ovid Embase, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus.Review MethodsA comprehensive search was conducted on several databases from inception to October 14, 2021. We included primary studies exploring any surgical or educational outcomes of global short‐term surgical endeavors within LMICs. Data were then extracted to evaluate the heterogenous body of literature that exists, characterizing the surgical, educational, and sustainability‐based outcomes.ResultsForty‐Seven studies were included in the final analysis. Most publications were focused on surgical interventions (39 of 47; 82.9%); 13 (27.7%) studies included education as the primary aim and 12 (25.5%) considered sustainability a significant aim. Of the 94 first and last authors, there were zero first authors and only one last author with an LMIC affiliation. Twenty‐six studies (55%) mentioned that any patients were seen in follow‐up, ranging from one day to five years.ConclusionOur scoping review demonstrates that most STSTs have focused primarily on surgical procedures with a lack of appropriate long‐term follow‐up. However, the available outcome‐based information presented helps identify factors that characterize a strong short‐term global surgical program.Level of EvidenceN/A Laryngoscope, 2023

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Section: Resultsmentioning

confidence: 99%

Section: Categorization and Timingmentioning

confidence: 99%

Outcomes of Short‐Term Surgical Trips in Otolaryngology—Head and Neck Surgery: A Scoping Review

et al. 2023

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“…Since then, surgeons’ interest in this flap has been increased. Many studies have demonstrated that buccal myomucosal flap is a versatile flap that can be utilized to repair a variety of small and moderate-sized head and neck defects, such as cleft palate, oroantral fistula, oropharyngeal stenosis, nasal lining and columellar defects, and glossectomy defects after tumor resection 23–27…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have demonstrated that buccal myomucosal flap is a versatile flap that can be utilized to repair a variety of small and moderate-sized head and neck defects, such as cleft palate, oroantral fistula, oropharyngeal stenosis, nasal lining and columellar defects, and glossectomy defects after tumor resection. [23][24][25][26][27] As proposed here, the buccal myomucosal flap for red lip reconstruction has several advantages. Anatomically, it has a welldescribed and constant blood supply sourced by the buccal or facial artery, which makes it a dependable flap that leads to soft tissue survival.…”

Section: Discussionmentioning

confidence: 99%

Buccal Myomucosal Flap for Reconstruction of Red Lip Defects Close to Mouth Angle

Gao

Yang

et al. 2022

Journal of Craniofacial Surgery

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Background: Owing to the special esthetic and functional role in the face, red lip reconstruction presents a challenge to plastic surgeons. Various reconstructive techniques can be employed to fix the red lip defects close to the mouth angle. The purpose of this study was to demonstrate that the buccal myomucosal flap could be an available option to repair red lip defects with preservation of its esthetics and function. Methods: A single-center, retrospective study of 7 patients with red lip defects who were treated with buccal myomucosal flap was conducted between June 2017 and March 2022. All patients were followed up for at least 6 months including questionnaires and photography. Results: Of these 7 patients, 2 were women, and 5 were men. The average age was 14.3 years (range, 1–32 y). All the buccal myomucosal flaps survived well. All the donor sites were closed directly without complications. The average follow-up time was 33.4 months (range, 6–57 mo). All patients were satisfied with the aesthetic and functional results. Conclusion: The buccal myomucosal flap is versatile and reliable, with the advantages of rich vascularity, flexible design, and easy access. This study was presented to highlight that the flap could be a good candidate to treat red lip defects close to the mouth angle.

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“…One of its distinguishing features is the potential for mucosa-to-mucosa replacement, facilitating optimal functional and aesthetic outcomes [27]. Moreover, BMF is associated with relatively low morbidity and yields optimal functional and cosmetic results [27,28 ▪ ]. However, it's important to note that the surgical elevation of BMF can present challenges as the plexus of the terminal branches in the buccal mucosa can have significant variation.…”

Section: Treatment Options For Massive Palatal Defects Following Pala...mentioning

confidence: 99%

Managing massive palatial defect secondary to palatoplasty failures: an in-depth analysis

Boot,

Winters

2024

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Massive palatal defects resulting from palatoplasty failures arising from cleft palate repair complications present ongoing challenges in clinical practice. The purpose of this review is to provide up-to-date insights into aetiology, risk factors, surgical techniques, and adjunctive therapies, aiming to enhance the understanding of such complex cases, and optimize patient outcomes. Recent findings Primary palatoplasty has fistula recurrence rates ranging from 2.4% to 55%. Factors such as cleft width, surgical repair method, and patient characteristics, influence the likelihood of failure. Classifications such as the Pakistan Comprehensive Classification and Richardson's criteria aid in assessing defects. Surgical options range from local flaps and revision palatoplasty to regional flaps (e.g., buccinator myomucosal, facial artery-based flaps, tongue flaps, nasal septal flaps) to free microvascular flaps. Alternative approaches include obturator prostheses, and acellular dermal matrix has been used as an adjuvant to multiple repair techniques. Hyperbaric oxygen therapy has emerged as an adjunctive therapy to enhance tissue healing. Summary This comprehensive review underscores the intricate challenges associated with massive palatal defects resulting from palatoplasty failures. The diverse range of surgical and nonsurgical options emphasizes the importance of patient-centric, individualized approaches. Practitioners, armed with evidence-based insights, can navigate these complexities, offering tailored interventions for improved patient outcomes.

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Modified Buccal Myomucosal Flap Closure of Large Anterior Palatal Oronasal Fistulas

Cited by 6 publications

References 18 publications

Outcomes of Short‐Term Surgical Trips in Otolaryngology—Head and Neck Surgery: A Scoping Review

Outcomes of Short‐Term Surgical Trips in Otolaryngology—Head and Neck Surgery: A Scoping Review

Buccal Myomucosal Flap for Reconstruction of Red Lip Defects Close to Mouth Angle

Managing massive palatial defect secondary to palatoplasty failures: an in-depth analysis

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