Abstract Full text links

COVID-19 Information
Public health information (CDC)
Research information (NIH)
SARS-CoV-2 data (NCBI)
Prevention and treatment information (HHS)
Español

Log in

Advanced

Unilateral Buccinator Flap for

Lengthening of Short Palate
Mohammad-Esmaiil Hassani et al. J Craniofac Surg.
2018 Sep.

Show details

Full text links Cite …

Abstract
Background: Velopharyngeal insufficiency is one
of the most frequent complications after cleft
palate repair.

Purpose: To evaluate the results and complications

of unilateral Buccinator flap (BMF) in
velopharyngeal insufficiency.

Materials and methods: During 4 years the

authors performed unilateral BMF in all short
palates. Age, sex, demographic data, length of
palate, cause of short palate, nasopharyngoscopy
and videofluroscopy results, hyper nasality, nasal
escape, nasal emission, nasal fluid leak, speech
evaluation and results, outcome and complications
of the treatment were surveyed before surgery and
in 1, 3, 6 months after treatment.

Results: The authors had 43 patients, 29 below 8

years old and 14 adults. Velopharyngeal gap was
between 10 and 27 mm, mean 21 mm. Buccinator
flap were measuring 15 to 19 mm in width and 32 to
56 mm in length. The operation time was 80 to 100
minutes, mean 86 minutes.Nasal emission, nasal
escape, and nasal leak were treated in all
patients.Hyper nasality was completely improved in
all of the patients below 8 years old (29 patients)
and in 10 patients of the adults (totally 39 patients,
90.6%). And it was improved significantly in other 4
patients (9.4%). The speech evaluation reported
between 70% and 86% improvements.The
lengthening of the palate was between 12 and 19
mm, mean 17 mm.The satisfaction of the patients
was as 0% poor, 2.3% fair, 72.1% good, and 25.6%
excellent.

Conclusion: Unilateral BMF is reliable, promising,

and safe flap for lengthening of short palate and it
can lengthen the palate up to 19 mm. The time of
surgery is very short compared with other
methods. It is an anatomical treatment versus
pharyngeal flap which is not an anatomical one.
Speech improvement will achieve in 70% to 86%
patients.

Similar articles

Improvement of quality of speech in

patients with velo-pharyngeal insufficiency
corrected using a buccinator myomucosal
flap.
Dias DK, et al. Ceylon Med J. 2016. PMID: 27727413

Bilateral buccinator myomucosal flap

outcomes in nonsyndromic patients with
repaired cleft palate and velopharyngeal
insufficiency.
Denadai R, et al. J Plast Reconstr Aesthet Surg. 2017.
PMID: 28739170

Velopharyngeal insufficiency treated with

levator muscle repositioning and unilateral
myomucosal buccinator flap.
Logjes RJ, et al. J Craniomaxillofac Surg. 2017.
PMID: 27939039

Velopharyngeal function in nonsyndromic

cleft palate: relevance of surgical technique,
age at repair, and cleft type.
Marrinan EM, et al. Cleft Palate Craniofac J. 1998.
PMID: 9527305 Review.

Pharyngeal flap surgery in adults.

Hall CD, et al. Cleft Palate Craniofac J. 1991.
PMID: 2069974 Review.

See all similar articles

MeSH terms
Adult
Child
Facial Muscles / transplantation*
Female
Humans
Male
Operative Time
Palate, Soft / surgery
Speech
Surgical Flaps*
Treatment Outcome
Velopharyngeal Insufficiency / physiopathology
Velopharyngeal Insufficiency / surgery*
Voice Quality
Young Adult

Related information
MedGen

LinkOut - more resources

Full Text Sources
Ovid Technologies, Inc.
Wolters Kluwer

Other Literature Sources

scite Smart Citations

Miscellaneous
NCI CPTAC Assay Portal

NCBI Literature Resources

MeSH PMC Bookshelf Disclaimer

FOLLOW NCBI

Connect with NLM

National Library of Medicine

8600 Rockville Pike
Bethesda, MD 20894

Web Policies
FOIA

Help
Accessibility
Careers

NLM NIH HHS USA.gov