Facial Artery Myomucosal Flap, Pedicled Solely on the Facial Artery

Rahpeyma, Amin; Khajehahmadi, Saeedeh; Sedigh, Hamideh Salari

doi:10.1097/scs.0000000000002947

Cited by 9 publications

(8 citation statements)

References 11 publications

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“…Massarelli et al [8] suggest that iFAMM ap pedicled solely on the facial artery with the surrounding fat tissue provides the correct venous drainage, without ap congestion. However, Rahpeyma et al [9] in experimental studies on dogs observed iFAMM ap loss in each case of facial vein ligation. For that reason, iFAMM ap, pedicled only on facial artery, is not acceptable for clinical usage [9].…”

Section: Discussionmentioning

confidence: 92%

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Feasibility of dpFAMM flap in Tongue Reconstruction After Facial Vessels Ligation and Radiotherapy- Case Presentation

Gontarz

Bargiel

Gąsiorowski

et al. 2021

Preprint

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BackgroundSalvage surgery with reconstruction of the second and next primary tongue cancer remains difficult, especially after earlier neck dissection and radiotherapy. In the current report, we describe the feasibility of the extended, double-pedicled facial artery musculomucosal (dpFAMM) flap in the reconstruction of the patient with second primary tongue squamous cell carcinoma, after facial vessels ligation and radiotherapy. Case presentation81-year-old female patient was operated on due to tongue squamous cell carcinoma (SCC) on the left side T3N1M0 in 2019. Bilateral selective neck dissection with tongue reconstruction was performed by island FAMM flap. The patient also suffered from synchronous mucinous breast carcinoma treated with tamoxifen. Second primary SCC of the tongue on the opposite (right) side was detected in 2020. The patient did not agree for surgical treatment therefore radiotherapy was performed. Local recurrence of the tongue cancer of the right side was treated surgically in 2021. Salvage surgery comprised hemiglossectomy and dpFAMM flap reconstruction with uneventful postoperative follow-up.ConclusionsThis case presentation proved that dpFAMM flap can be used in salvage surgery and reconstruction even in patients after ligation of facial vassels, irradiation and in the course of hormone therapy. The flap is easy to handle, has good vascularity and comprises predictable method of reconstruction, especially for patients with severe comorbidities.

show abstract

Section: Discussionmentioning

confidence: 92%

“…However, Rahpeyma et al [9] in experimental studies on dogs observed iFAMM ap loss in each case of facial vein ligation. For that reason, iFAMM ap, pedicled only on facial artery, is not acceptable for clinical usage [9]. In our case, the patient had facial vein and artery ligated during neck dissection 18 months earlier.…”

Section: Discussionmentioning

confidence: 92%

Feasibility of dpFAMM flap in Tongue Reconstruction After Facial Vessels Ligation and Radiotherapy- Case Presentation

Gontarz

Bargiel

Gąsiorowski

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Massarelli et al [ 8 ] suggest that iFAMM flap pedicled solely on the facial artery with the surrounding fat tissue provides the correct venous drainage, without flap congestion. However, Rahpeyma et al [ 9 ] in experimental studies on dogs observed iFAMM flap loss in each case of facial vein ligation. For that reason, iFAMM flap, pedicled only on the facial artery, is not acceptable for clinical usage [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, Rahpeyma et al [ 9 ] in experimental studies on dogs observed iFAMM flap loss in each case of facial vein ligation. For that reason, iFAMM flap, pedicled only on the facial artery, is not acceptable for clinical usage [ 9 ]. In our case, the patient had facial vein and artery ligated during neck dissection 18 months earlier.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of dpFAMM flap in tongue reconstruction after facial vessel ligation and radiotherapy—case presentation

et al. 2022

View full text Add to dashboard Cite

Background Salvage surgery with reconstruction of the second and next primary tongue cancer remains difficult, especially after earlier neck dissection and radiotherapy. In the current report, we describe the feasibility of the extended, double-pedicled facial artery musculomucosal (dpFAMM) flap in the reconstruction of the patient with second primary tongue squamous cell carcinoma, after facial vessel ligation and radiotherapy. Case presentation An 81-year-old female patient was operated on due to tongue squamous cell carcinoma (SCC) on the left side T3N1M0 in 2019. Bilateral selective neck dissection with tongue reconstruction was performed by island FAMM flap. The patient also suffered from synchronous mucinous breast carcinoma treated with tamoxifen. The second primary SCC of the tongue on the opposite (right) side was detected in 2020. The patient did not agree to surgical treatment; therefore, radiotherapy was performed. The local recurrence of the tongue cancer of the right side was treated surgically in 2021. Salvage surgery comprised hemiglossectomy and dpFAMM flap reconstruction with uneventful postoperative follow-up. Conclusions This case presentation proved that dpFAMM flap can be used in salvage surgery and reconstruction even in patients after ligation of facial vessels, irradiation, and in the course of hormone therapy. The flap is easy to handle, has good vascularity, and comprises a predictable method of reconstruction, especially for patients with severe comorbidities.

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“…This method is advantageous due to its accessibility, low harm to the donor site, and similarity to recipient tissue [ 32 ]. Rahpeyma et al showed that a superiorly based FAMM flap is a good option when the fistula in the palate is continuous with the alveolar cleft [ 33 ]. Furthermore, they explained that a musculomucosal flap of the facial artery that is only supported by the skeletonized artery alone, known as an island FAMM flap, is not considered viable for use in clinical settings due to biological factors [ 34 ].…”

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 Myomucosal Flap, Pedicled Solely on the Facial Artery

Abstract: Island FAMM flap, pedicled only on skeletonized facial artery, is not biologically accepted for clinical usage.

Cited by 9 publications

References 11 publications

Feasibility of dpFAMM flap in Tongue Reconstruction After Facial Vessels Ligation and Radiotherapy- Case Presentation

Feasibility of dpFAMM flap in Tongue Reconstruction After Facial Vessels Ligation and Radiotherapy- Case Presentation

Feasibility of dpFAMM flap in tongue reconstruction after facial vessel ligation and radiotherapy—case presentation

Facial Reconstruction Using Facial Artery Myomucosal Flap: A Comprehensive Review

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