Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Use of Double Buccinator Myomucosal Flap for Treating Secondary Velopharyngeal Insufficiency: a Case Report

양측 협부 근점막 피판을 이용한 2차성 연구개 비인강 폐쇄 부전의 치료: 증례보고

  • Kim, Tae-Woon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 김태운 (서울대학교 치의학대학원 구강악안면외과학교실) ;
  • 최진영 (서울대학교 치의학대학원 구강악안면외과학교실)
  • Received : 2010.08.04
  • Accepted : 2010.09.14
  • Published : 2010.09.30
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Abstract

Velopharyngeal insufficiency is defined as a status in which nasal cavity and oral cavity can not be sepa-rated when speaking, swallowing by any reason. It has been treated by palatorrhaphy, pharyn-geal 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.

Keywords

References

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