Document Detail

A new approach for repair of oro-antral-nasal fistulae. The anteriorly based buccinator myomucosal island flap.
MedLine Citation:
PMID:  2037694     Owner:  NLM     Status:  MEDLINE    
Oral-antral-nasal fistula (OAN) is a commonly encountered clinical problem. The literature is filled with a plethora of methods described for closing a persistent OAN. Local flaps are available to close minor to moderate defects, however, large fistulae can be a very challenging reconstructive problem. Various areas of the oral cavity have been used for closure of OAN. We describe a technique to reconstruct the oral cavity, in this case an OAN. The anteriorly based buccinator myomuosal island pedicle flap (BMIP) provides an alternative method for reconstructing the oral cavity. An extensive review of the literature as well as the anatomy of the buccinator, its reconstructive capabilities, and two case reports are included.
M H Carstens; G M Stofman; G C Sotereanos; D J Hurwitz
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  19     ISSN:  1010-5182     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-07-03     Completed Date:  1991-07-03     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  64-70     Citation Subset:  D; IM    
Division of Plastic Reconstructive Surgery, University of pittsburgh School of Medicine.
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MeSH Terms
Facial Muscles / anatomy & histology,  blood supply,  transplantation*
Fistula / surgery*
Middle Aged
Mouth Diseases / surgery*
Mouth Mucosa / transplantation
Nose Diseases / surgery*
Oroantral Fistula / surgery*
Surgical Flaps / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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