Buccinator-based myomucosal flaps in intraoral reconstruction: A review and new classification
The patient was a 38-year-old male patient with large oronasal fistula from surgical resection and radiotherapy of nasal cavity angiofibroma, 10 years ago. Clinical picture was very similar to that of wide adult palatal cleft. Voice changes and difficulty in eating were the two main chief complaint of the patient. In delayed reconstruction 10 years after the first operation, the fistula closed with superiorly based buccinator island flap. Donor site was closed with inferiorly based masseter muscle flap effectively []. Buccal fat pad could not herniate in surgical field for donor site coverage, probably because of previous radiotherapy, thus masseter muscle flap became the choice.