Asset Details

  • Description:
  • The buccal mucosa and the buccinator muscle are incised to the level of the buccopharyngeal fascia, working in an anterior to posterior direction. A loose areolar plane exists between the buccinator muscle and the buccopharyngeal fascia, facilitating the elevation of the flap with blunt dissection. The buccopharyngeal fascia should be preserved for 2 reasons: to prevent buccal fat pad herniation into the field of dissection and to avoid injury to branches of the facial nerve. Small branches from the facial artery may require ligation as may anterior venous tributaries from the pterygoid plexus. The buccal artery, accompanying vein, and buccal nerve arise laterally at the posteroinferior aspect of the buccinator muscle. The pedicle may be isolated to create an island flap to facilitate rotation, but this is not usually necessary. The flap is then transferred into the defect and secured with long-lasting absorbable sutures, and the donor site is closed primarily (Figure 4 and Figure 5).
  • License:
  • Rights Managed
  • Rights Holder:
  • JAMA
  • License Rights Holder:
  • Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
  • Asset Type:
  • Image
  • Asset Subtype:
  • Photo
  • Image Orientation:
  • Landscape
  • Image Dimensions:
  • 590 x 372
  • Image File Size:
  • 41.8 KB
  • Creator:
  • Greg R. Licameli MD, Robert Dolan MD
  • Credit:
  • Licameli, G. R., & Dolan, R. (1998). Buccinator Musculomucosal Flap. Arch Otolaryngol Head Neck Surg, 124(1), 69-72. https://doi.org/10.1001/archotol.124.1.69.
  • Collection:
  • Keywords:
  • Restrictions:
  • Property Release:
  • No
  • Model Release:
  • No
  • Purchasable:
  • Yes
  • Sensitive Materials:
  • No
  • Article Authors:
  • Greg R. Licameli MD, Robert Dolan MD
  • Article Copyright Year:
  • 1998
  • Publication Volume:
  • 124
  • Publication Issue:
  • 1
  • Publication Date:
  • 01/01/1998
  • DOI:
  • https://doi.org/10.1001/archotol.124.1.69

Click on image to enlarge

Would you like to download this asset? Tell us more and we can generate a quote, license and downloadable file.

Add to Cart