Abstract：
OBJECTIVE: This review aims to examine the indications and anatomical circumstances for when to optimally incorporate buccal myomucosal flaps (BMFs) into palatal surgical reconstruction.
RESULTS: Studies examining outcomes following primary cleft palate repair with incorporation of BMF have demonstrated excellent speech outcomes and low rates of fistula. Furthermore, some reports cite an association of buccal flap use with reduced midface hypoplasia and the need for later orthognathic surgery. When used for secondary speech surgery, BMFs have been shown to lead to speech improvements across multiple outcome measures. Advantages of BMF techniques over conventionally described pharyngeal flap and pharyngoplasty procedures include significant lengthening of the velum, favorable repositioning of the levator muscular sling, and lower rates of obstructive sleep apnea.
CONCLUSIONS: Although the published data demonstrate excellent outcomes with use of BMFs for primary and secondary palatal surgery, there are limited data to conclude superiority over the traditional, more extensively investigated surgical techniques. The authors of this review agree with the evidence that BMF techniques can be useful in primary palatoplasty for congenitally wide clefts, secondary speech surgery for large velopharyngeal gaps, and/or in individuals with a predisposition for airway obstruction from traditional approaches.
RESULTS: Studies examining outcomes following primary cleft palate repair with incorporation of BMF have demonstrated excellent speech outcomes and low rates of fistula. Furthermore, some reports cite an association of buccal flap use with reduced midface hypoplasia and the need for later orthognathic surgery. When used for secondary speech surgery, BMFs have been shown to lead to speech improvements across multiple outcome measures. Advantages of BMF techniques over conventionally described pharyngeal flap and pharyngoplasty procedures include significant lengthening of the velum, favorable repositioning of the levator muscular sling, and lower rates of obstructive sleep apnea.
CONCLUSIONS: Although the published data demonstrate excellent outcomes with use of BMFs for primary and secondary palatal surgery, there are limited data to conclude superiority over the traditional, more extensively investigated surgical techniques. The authors of this review agree with the evidence that BMF techniques can be useful in primary palatoplasty for congenitally wide clefts, secondary speech surgery for large velopharyngeal gaps, and/or in individuals with a predisposition for airway obstruction from traditional approaches.
摘要：
目的：这篇综述旨在研究何时最佳地将颊肌粘膜皮瓣（BMF）纳入腭外科重建的适应症和解剖学情况。
结果：检查原发性腭裂修复合并BMF后结局的研究表明，语音效果良好，瘘管发生率低。此外，一些报道提到颊侧皮瓣的使用与减少中面发育不全和需要后期正颌手术有关.当用于二次言语手术时，BMF已被证明可以改善多种结果指标的语音。BMF技术相对于传统描述的咽瓣和咽成形术的优势包括明显延长的膜。提上肌吊带的有利重新定位，并降低阻塞性睡眠呼吸暂停的发生率。
结论：尽管已发表的数据显示BMF用于原发性和继发性腭手术的良好结果，有限的数据可以得出优于传统的结论，更广泛的研究手术技术。这篇综述的作者同意以下证据：BMF技术可用于先天性宽裂隙的原发性腭成形术，二次言语手术治疗大的腭咽间隙，和/或在具有来自传统方法的气道阻塞倾向的个体中。
结果：检查原发性腭裂修复合并BMF后结局的研究表明，语音效果良好，瘘管发生率低。此外，一些报道提到颊侧皮瓣的使用与减少中面发育不全和需要后期正颌手术有关.当用于二次言语手术时，BMF已被证明可以改善多种结果指标的语音。BMF技术相对于传统描述的咽瓣和咽成形术的优势包括明显延长的膜。提上肌吊带的有利重新定位，并降低阻塞性睡眠呼吸暂停的发生率。
结论：尽管已发表的数据显示BMF用于原发性和继发性腭手术的良好结果，有限的数据可以得出优于传统的结论，更广泛的研究手术技术。这篇综述的作者同意以下证据：BMF技术可用于先天性宽裂隙的原发性腭成形术，二次言语手术治疗大的腭咽间隙，和/或在具有来自传统方法的气道阻塞倾向的个体中。
