Facial artery-based islanded myomucosal and bone flaps in head and neck reconstruction

Joseph, Shawn T.; Mohan, M.T.; Naveen, B.S.; Anand, Akash; Tharayil, Jose

doi:10.1016/j.bjps.2020.10.058

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…The osseous variant is achieved by harvesting mandibular bone with attached periosteum as part of the dissection of the flap. Joseph et al [9] published 75 cases of iFAMM/iFOMM flaps, 3 of which were iFOMM flaps. There was one flap failure due to vascular injury during neck dissection.…”

Section: Facial Artery Musculomucosal Flapmentioning

confidence: 99%

Intraoral flaps for oral cavity and oropharyngeal reconstruction

Sandilands¹,

Somers²,

Winters

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review Oral cavity reconstruction using local flaps is an area of head and neck surgery that has been overshadowed since the introduction of free flaps. Here, we discuss new developments, predominantly modifications to existing techniques for intraoral reconstruction, the utility of different local flaps and a review of functional outcomes. Recent findings The facial artery musculomucosal (FAMM) flap has seen the greatest number of modifications to technique, most notably the extended double-pedicled, kite-shaped tunnelized and osseous myomucosal approaches. The tunnelled buccal fat pad flap has gained popularity as well as the use of combining two flaps such as the buccal fat pad and palatal island flap to reconstruct oral cavity defects with good effect. There is still a paucity of literature surrounding functional outcomes post reconstruction. Despite this, the complication rate for local flaps remains low. Summary The value of intraoral flaps for oral cavity reconstruction is undisputed. However, they are potentially underutilised in the modern era of expanding availability and indications for free tissue transfer. As many practices see greater numbers of aging patients, often with multisystem comorbidities, local flaps are an important tool that can provide the surgeon with a greater number of reconstructive options.

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Section: Facial Artery Musculomucosal Flapmentioning

confidence: 99%

Intraoral flaps for oral cavity and oropharyngeal reconstruction

Sandilands¹,

Somers²,

Winters

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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“…These flaps provide good aesthetic outcomes, are easy to harvest, and have a satisfactory amount of bulk and mucosa. Not only is reconstruction done in one stage, but it is also a fast, cost-effective, and viable option for oral cavity, oropharynx, larynx, hypopharynx, and tracheal mucosal defects [ 31 ]. The facial artery-based island flap can be used for small reconstructions in the upper hypopharynx.…”

Section: Reviewmentioning

confidence: 99%

Facial Reconstruction Using Facial Artery Myomucosal Flap: A Comprehensive Review

Fatani,

Alhilal,

Alzahrani

et al. 2023

Cureus

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The facial artery myomucosal (FAMM) flap is a type of facial flap that is constructed with the buccal mucosa and submucosa along with a portion of the buccinator muscle, which is connected to nearby blood vessels to maintain its blood supply. It is a versatile and reliable option for head and neck reconstruction, particularly in oral cavity defects. This flap is employed in the reconstruction of the floor of the mouth, alveolar cleft surgery, and tongue defect repair. Previous studies have discussed the use of FAMM flaps for facial reconstructions. However, there are no current and updated comprehensive reviews discussing the use of FAMM flaps in facial reconstruction. In light of this, this study aimed to review all relevant studies that discuss the use of FAMM flaps in facial reconstruction.

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Facial artery-based islanded myomucosal and bone flaps in head and neck reconstruction

Cited by 2 publications

References 24 publications

Intraoral flaps for oral cavity and oropharyngeal reconstruction

Intraoral flaps for oral cavity and oropharyngeal reconstruction

Facial Reconstruction Using Facial Artery Myomucosal Flap: A Comprehensive Review

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