Reconstruction of oral cavity defect using versatile buccinator myomucosal flaps in the treatment of cT2–3, N0 oral cavity squamous cell carcinoma: Feasibility, morbidity, and functional/oncological outcomes

Publication date: December 2017
Source:Oral Oncology, Volume 75
Author(s): Dongbin Ahn, Gil Joon Lee, Jin Ho Sohn
ObjectivesTo evaluate the results of oral cavity reconstruction using various types of buccinator myomucosal flap (BMMF) for the treatment of cT2–3 oral cavity squamous cell carcinoma (OCSCC).Materials and methodsTwenty-two consecutive patients who underwent surgical management for OCSCC and reconstruction using various types of BMMF were enrolled. Surgical results, complications, speech/swallowing outcomes, and recurrence were evaluated.ResultsThe mean flap harvest time was 28.6 min. Complete flap necrosis occurred in one (4.5%) patient in whom an island flap was used. There were no other major complications. All patients demonstrated normal speech and swallowing functions, with articulation correctness >90% and a mean swallowing satisfaction score of 9.6. Occult neck lymph node metastasis was found in three (13.6%) patients; however, no recurrence at level I was observed.ConclusionsReconstruction of the oral cavity using various types of BMMF is feasible for treatment of cT2–3 OCSCC, and yields favorable outcomes with minimal morbidity.



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