Treatment of Velopharyngeal Insufficiency Using Bilateral Myomucosal Buccinator Flaps

Plast Reconstr Surg. 2024 Feb 1;153(2):411e-414e. doi: 10.1097/PRS.0000000000010551. Epub 2023 Apr 13.

Abstract

The buccinator myomucosal flap, also referred to as a buccal myomucosal flap, is an effective technique to address velopharyngeal insufficiency after cleft palate repair. Challenges related to flap harvesting may deter plastic surgeons from incorporating this strategy as a first-line treatment. The primary objective of this study and accompanying video is to provide support regarding indications, planning, and surgical steps of the buccinator myomucosal flap technique, including important technical details for soft-palate dissection and flap harvesting.

MeSH terms

  • Cleft Palate* / surgery
  • Humans
  • Mouth Mucosa / surgery
  • Plastic Surgery Procedures*
  • Surgical Flaps / surgery
  • Velopharyngeal Insufficiency* / etiology
  • Velopharyngeal Insufficiency* / surgery