Head and neck reconstruction using the superiorly based reversed-flow facial artery myomucosal flap

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Silvano FerrariEnrico Sesenna

Abstract

The use of myomucosal buccinator flaps in the reconstruction of oral cavity defects is well established in the international literature; however, their use for the reconstruction of defects not in the oral cavity has been largely underestimated. The purpose of this report was to describe and review the applications of the superiorly based facial artery myomucosal (FAMM) flap in head and neck reconstruction. This study was a retrospective evaluation of 12 patients who underwent reconstruction of the palate, lip, nasal septum, and conjunctiva with reversed-flow FAMM flaps. Mouth opening, speech, reconstruction effectiveness, and esthetic outcomes were analyzed. The patient cohort consisted of 7 men and 5 women 33 to 80 years old (mean, 56.2 yr old). No major complication occurred. Cosmetic results were excellent in most patients. Functionally, the best reconstruction results were obtained in the palate, lip, and conjunctiva. Nasal reconstruction led to mild airway obstruction in 2 cases and severe obstruction in 1 case. The superiorly based FAMM flap plays an important role in the reconstruction of particular defects involving the oral cavity and other distant sites of the head and neck area. The reliability, low morbidity, and o...Continue Reading

References

Dec 22, 1999·Plastic and Reconstructive Surgery·Z ZhaoX Ma
Nov 1, 2005·Annals of Plastic Surgery·Justin B HellerJames P Bradley
Sep 1, 2007·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Anindya Lahiri, Bruce Richard
Mar 25, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·A BajA B Giannì
Jul 7, 2009·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Bernardo BianchiEnrico Sesenna
Mar 24, 2010·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Silvano FerrariEnrico Sesenna
Sep 4, 2010·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Silvano FerrariEnrico Sesenna
Dec 14, 2011·Oral Oncology·S FerrariE Sesenna
Oct 29, 2013·National Journal of Maxillofacial Surgery·Amin Rahpeyma, Saeedeh Khajehahmadi
Jan 1, 2014·Plastic and Reconstructive Surgery·Mauricio E Coronel-BandaWendy P Larrea-Terán

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Citations

Nov 14, 2015·Annals of Medicine and Surgery·Amin Rahpeyma, Saeedeh Khajehahmadi
Sep 25, 2017·Oral and Maxillofacial Surgery·Olindo MassarelliGiacomo De Riu
Aug 20, 2015·Head & Neck·Silvano FerrariEnrico Sesenna
Mar 13, 2021·Facial Plastic Surgery & Aesthetic Medicine·Yue QiQianWen Lv

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