The Modified Buccal Musculomucosal Flap Method for Cleft Palate Surgery

Nakakita, Nobuaki; Maeda, Katsuhide; Ojimi, Hiroyuki; Utsugi, Ryuichi; Maekawa, Jiro

doi:10.1097/00006534-199109000-00007

Cited by 23 publications

(2 citation statements)

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“…(1991) also reported. [ 15 ] Placed in a transverse cut made in the nasal layer, the buccal myomucosal flap can add an additional 1.5–2 cm to the nasal surface. That maneuver will allow an adequate contact between the soft palate and the nasopharynx (Mukherji, 1969).…”

Section: Discussionmentioning

confidence: 99%

Use of buccal myomucosal flap for palatal lengthening in cleft palate patient: Experience of 20 cases

2015

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Background:The purpose of this review was to assess the effectiveness of the buccal myomucosal flap in secondary repairs of cleft palate in 20 patients.Patients and Methods:Totally, 20 patients, who underwent secondary palatoplasty between 5 years and 8 years in which a buccal myomucosal flap was used, were reviewed retrospectively. All patients had undergone at least one previous attempted repair at other institutions. Indications for the secondary repair included velopharyngeal incompetence and/or oronasal fistula. Patients were evaluated preoperatively for oronasal fistula status, velopharyngeal competence, nasal resonance, speech quality, and nasal escape.Results:The buccal myomucosal flap was used in all 20 patients, and there was marked increase in the quality of speech as well as nasal regurgitation decreased. In patients with levator dysfunction due to poor primary surgery and glottal speech the results were inconclusiveConclusion:Palate re-repair combined with a buccal myomucosal flap, occasionally in conjunction with other techniques, is an effective method for correcting failed cleft palate repairs. Minimum donor site morbidity and complication makes the buccal flap a useful armamentarium of a cleft surgeon.

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Section: Discussionmentioning

confidence: 99%

Use of buccal myomucosal flap for palatal lengthening in cleft palate patient: Experience of 20 cases

2015

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“…First, it requires a second operation to cutoff the base of the BMMF in a belt shape when the BMMF is used for oral lining. 13 Second, a unilateral BMMF cannot close the mucosal defects of both the nasal and oral sides. 14,16 A novel fistula closure method using the folded BMMF (f-BMMF) invented by the authors is presented.…”

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The Folded Buccal Musculomucosal Flap for Large Palatal Fistulae in Cleft Palate

Kobayashi

Fukawa²,

Hirakawa³

et al. 2014

Plastic and Reconstructive Surgery Global Open

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Background:A palatal fistula is a common complication of cleft palate repair. Although a buccal musculomucosal flap (BMMF) is effective for fistula repair, it does have the following problems: a second operation may be required to release the pedicle on the oral side and unilateral BMMF cannot close mucosal defects of both the nasal and oral sides. A novel fistula closure method using the folded BMMF (f-BMMF) invented by the authors is presented.Case:A 8-year-old-boy with bilateral cleft lip and palate with anencephaly. A fistula in the hard palate occurred after palatoplasty by the Furlow method, and an f-BMMF was planned. The mucosal defects of the nasal and oral sides were covered by 2 separate islands of mucosal epithelium. Finally, no reoperation was needed to remove the pedicle of the f-BMMF.Conclusion:The f-BMMF is able to cover both sides without a raw surface and a mucosal graft even in cases of large fistula closure, although BMMF cannot usually cover both oral and nasal sides of a fistula. The advantages of this procedure are that it does not require second surgery to release the pedicle and that its distal island mucosa can be used to monitor engraftment. This proposed method seems to be an appealing alternative.

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Buccinator Myomucosal Flap in Cleft Palate Repair: The SOBRAPAR Hospital Experience

Denadai

Raposo-Amaral

Raposo‐Amaral

2018

Cleft Lip and Palate Treatment

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The Modified Buccal Musculomucosal Flap Method for Cleft Palate Surgery

Cited by 23 publications

References 0 publications

Use of buccal myomucosal flap for palatal lengthening in cleft palate patient: Experience of 20 cases

Use of buccal myomucosal flap for palatal lengthening in cleft palate patient: Experience of 20 cases

The Folded Buccal Musculomucosal Flap for Large Palatal Fistulae in Cleft Palate

Buccinator Myomucosal Flap in Cleft Palate Repair: The SOBRAPAR Hospital Experience

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