Reconstruction of oral cavity defect using versatile buccinator myomucosal flaps in the treatment of cT2-3, N0 oral cavity squamous cell carcinoma: Feasibility, morbidity, and functional/oncological outcomes.
OBJECTIVES
To evaluate the results of oral cavity reconstruction using various types of buccinator myomucosal flap (BMMF) for the treatment of cT2-3 oral cavity squamous cell carcinoma (OCSCC).


MATERIALS AND METHODS
Twenty-two consecutive patients who underwent surgical management for OCSCC and reconstruction using various types of BMMF were enrolled. Surgical results, complications, speech/swallowing outcomes, and recurrence were evaluated.


RESULTS
The mean flap harvest time was 28.6 min. Complete flap necrosis occurred in one (4.5%) patient in whom an island flap was used. There were no other major complications. All patients demonstrated normal speech and swallowing functions, with articulation correctness >90% and a mean swallowing satisfaction score of 9.6. Occult neck lymph node metastasis was found in three (13.6%) patients; however, no recurrence at level I was observed.


CONCLUSIONS
Reconstruction of the oral cavity using various types of BMMF is feasible for treatment of cT2-3 OCSCC, and yields favorable outcomes with minimal morbidity.
['Ahn|Dongbin|D|', 'Lee|Gil Joon|GJ|', 'Sohn|Jin Ho|JH|']
D000328:Adult D000368:Aged D000369:Aged, 80 and over D002294:Carcinoma, Squamous Cell D002610:Cheek D003679:Deglutition D005240:Feasibility Studies D005260:Female D006801:Humans D008207:Lymphatic Metastasis D008297:Male D008875:Middle Aged D009061:Mouth Mucosa D009062:Mouth Neoplasms D009367:Neoplasm Staging D017060:Patient Satisfaction D011446:Prospective Studies D019651:Reconstructive Surgical Procedures D013060:Speech D013524:Surgical Flaps D016896:Treatment Outcome D055815:Young Adult
Reconstruction Flap Buccal mucosa Cheek Oral cancer