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National Journal of Maxillofacial Surgery
 
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REVIEW ARTICLE
Year : 2013  |  Volume : 4  |  Issue : 1  |  Page : 25-32

Buccinator-based myomucosal flaps in intraoral reconstruction: A review and new classification


1 Oral and Maxillofacial Diseases Research Center, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
2 Dental Research Center, Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

Correspondence Address:
Saeedeh Khajehahmadi
Dental Research Center of Medical Sciences, Vakilabad Blvd, Mashhad
Iran
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Source of Support: Oral and Maxillofacial Diseases Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran., Conflict of Interest: None


DOI: 10.4103/0975-5950.117875

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The buccinator-based myomucosal flaps are axial pattern flaps that are suitable in reconstruction of medium sized oral soft tissue defects; they are rich in blood supply, have appropriate thickness and considerable mucosal paddle, and they can secrete saliva. The present study describes surgical anatomy and blood supply of these flaps and demonstrates all possible modifications of these flaps (9 modifications). Many terms (> 10) have been used to refer to buccinator-based myomucosal flaps in the literatures. This report introduces a new classification system mainly based on the remaining attachments of buccinator muscle after flap elevation in pedicle variants and axial blood supply orientation in island variants.


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