Reconstruction of floor of mouth defects by the facial artery musculo‐mucosal flap following cancer ablation
- 30 October 2007
- journal article
- research article
- Published by Wiley in Head & Neck
- Vol. 30 (4), 437-445
- https://doi.org/10.1002/hed.20722
Abstract
The purpose of this study is to review our experience with the use of the facial artery musculo-mucosal (FAMM) flap for floor of mouth (FOM) reconstruction following cancer ablation to assess its reliability, associated complications, and functional results. This was a retrospective analysis of 61 FAMM flaps performed for FOM reconstruction from 1997 to 2006. No total flap loss was observed. Fifteen cases of partial flap necrosis occurred, with 2 of them requiring revision surgery. We encountered 8 other complications, with 4 of them requiring revision surgery for an overall rate of revision surgery of 10% (6/61). The majority of patients resumed to a regular diet (85%), and speech was considered as functional and/or understandable by the surgeon in 93% of the patients. Dental restoration was successful for 83% (24/29) of the patients. The FAMM flap is well suited for FOM reconstruction because it is reliable, has few significant complications, and allows preservation of oral function. © 2007 Wiley Periodicals, Inc. Head Neck, 2008Keywords
This publication has 22 references indexed in Scilit:
- Anatomic study of the blood supply of perioral regionClinical Anatomy, 2005
- Repair of anterior floor of mouth defects by a central or paramedian island tongue flapThe Journal of Laryngology & Otology, 2003
- Anatomical basis and results of the facial artery musculomucosal flap for oral reconstructionBritish Journal of Oral and Maxillofacial Surgery, 1999
- New Perioral Arterial FlapsPublished by Ovid Technologies (Wolters Kluwer Health) ,1994
- A New Intraoral FlapPlastic and Reconstructive Surgery, 1992
- Three main arteries of the face and their tortuosityBritish Journal of Oral and Maxillofacial Surgery, 1991
- The Buccinator Musculomucosal FlapPlastic and Reconstructive Surgery, 1989
- A review of nasolabial flaps for intra-oral defectsBritish Journal of Plastic Surgery, 1987
- The Platysma Musculocutaneous FlapPlastic and Reconstructive Surgery, 1983
- USE OF NASOLABIAL SKIN FLAP TO COVER INTRAORAL DEFECTSPlastic and Reconstructive Surgery, 1976