In the peer-reviewed article “Oral Tongue Reconstruction with a Bozola Flap According to the Ansarin Glossectomies Classification” published in Journal of Clinical Medicine, the authors led by Giovanni Salzano explore the use of the buccinator myomucosal flap — the so-called Bozola flap — as an effective reconstructive option for selected defects of the mobile tongue.
By meticulously applying the anatomic-functional glossectomy classification system proposed by Massimo Ansarin, the study delineates precise indications for the Bozola flap in the context of Type I, II and IIIa resections, thereby providing a practical decision-making framework for oral and maxillofacial surgeons.
The authors demonstrate that for T1–T2 (and certain T3) mobile tongue squamous cell carcinomas, excluding tip involvement, the Bozola flap offers a compelling alternative to free-flap reconstruction: one that preserves mucosal function, maintains sensitivity, introduces minimal donor-site morbidity, and enables earlier rehabilitation of speech and swallowing.
In this article you will find an in-depth overview of the anatomical basis of the buccinator myomucosal flap, a step-by-step surgical description, donor-site considerations, and the functional outcomes relative to defect classification—all underpinned by the Ansarin glossectomy system.
👉 For a complete analysis and to Download the full article in PDF format, we invite you to access the publication via the link below and review the entire surgical technique, indications and outcomes in detail.
