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Oral Oncol. 2012 Apr;48(4):379-82. doi: 10.1016/j.oraloncology.2011.10.016. Epub 2011 Dec 6.

The Bozola flap in oral cavity reconstruction.

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1
Operative Unit of Maxillo-Facial Surgery, Head and Neck Department, University Hospital of Parma, Via Gramsci 14, Parma (Pr), Italy.

Abstract

The buccinator musculomucosal flaps are actually considered the main reconstructive option for small-moderate defects of the oral mucosa. In this paper we present our experience with the posteriorly based buccinator musculomucosal flap. A retrospective review was performed of all patients who had had a Bozola flap reconstruction at the Operative Unit of Maxillo-Facial Surgery of Parma, Italy, between 2003 and 2010. The Bozola flap was used in 19 patients. In most cases they had defects of the palate (n=12). All flaps were harvested successfully and no major complications occurred. Minor complications were observed in two cases. At the end of the follow up all patients returned to a normal diet without alterations of speech and swallowing. We consider the Bozola flap the first choice for the reconstruction of defects involving the palate, the cheek and the postero-lateral tongue and floor of the mouth.

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