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Anatomical study of the musculomucosal buccal flap

Wu Aiqun,Li Jiyun,Nie Zhengming,Zhang Jing,Ma Zhao,Chu XianxiangDepartment of Anatomy,Henan Medical University,Zhengzhou 450052Li Zhidong,Xie Bangjie,Guo BaofengDepartment of Oralogy,Henan Provencial Hospital of Army Police Force  
bjective:To provide morphological basis of the musculomucosal buccal flap designed for the maxillofacial surgery to repair cleft palate and postoperative wound in oral and pharyngeal tumors.Methods:The sagitlal specimens of the head and neck from 52 adult cadavers were dissected for the observation of the nerve and vessel origin,route,branches and their feature of distribution in the musculomucosal buccal flap area. Results:The sensory nerve is buccal nerve.The motor nerve is buccal branches of the facial nerve,which communicates with the buccal nerve in the 2nd and the 3rd mandibular molar region.There are 3 primary arteries supplying bood to the flap:the buccal artery,the twigs of the postersuperior alveolar artery and the lateral buccal branches of the facial artery.The veins are abundant and converge into the anterior facial vein.The buccalor and buccal mucosa were measured and the data obtained were dealt statistically.Conclusions:Muscuiomucosal buccal flap is a satisfactory mucosal flap used to repair the cleft palate and the postoperative wound in oral and pharygeal tumors.The flap could be designed in accordance with specific conditions.The thickness of the flap should be suitable to keep the buccal vessels and nerves from being injured.
【Fund】: 河南省卫生厅基金
【CateGory Index】: R323.1,
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