Oncologic safety of facial artery myomucosal flaps in oral cavity reconstruction

Abstract

Neck dissection with preservation of the facial artery and vein does not alter the rate of regional recurrences, confirming the oncologic safety of myomucosal flaps in oral cavity reconstruction. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1200-E1202, 2016.

Novel Local Chimeric Flap Based on Tunnelized Facial Artery Myomucosal Island Flap and Submandibular Gland Flap for Reconstructions After Oral Squamous Cell Carcinoma Surgery

“…The oncological safety of t-FAMMIF-SMG local chimeric flap may be based on the current state of knowledge using these involved flaps independently. According to this, the facial artery preservation during elective neck dissection in clinical N0 cervical lymph node status does not compromise oncological safety 29. However, in cases of clinical-stage N+ with a therapeutic neck dissection requirement, the significance of preserving facial artery in relation to oncological safety has not yet been established 3.…”

“…According to this, the facial artery preservation during elective neck dissection in clinical N0 cervical lymph node status does not compromise oncological safety. 29 However, in cases of clinical-stage N+ with a therapeutic neck dissection requirement, the significance of preserving facial artery in relation to oncological safety has not yet been established. 3 With regard to technical aspects, cervical lymph node clearance around SMG and relatively large caliber vessels of the pedicle is well feasible.…”

“… 3 With regard to technical aspects, cervical lymph node clearance around SMG and relatively large caliber vessels of the pedicle is well feasible. Due to the fact that in a number of studies pathological staging in previously stated clinically N0 neck has detected the occult metastases occurrence even at the level I without oncological safety impairment, 3 , 8 , 12 , 29 the main problem does not appear to be in the presence of lymph node metastases as such, but the manifestation of extranodal extension. In our case series, 3 patients underwent reconstruction by a t-FAMMIF-SMG local chimeric flap from the contralateral side to lymph nodes suspicious for metastasis (nos 1 and 4) or contralaterally to primary tumor deeply invading the floor of the mouth (no.…”

Contralateral Islanded Facial Artery Myomucosal Flap for the Reconstruction of Floor of the Mouth Defect

“…As an axial flap, FAMM flap can be raised as either superior or inferior based on facial artery 9. Oncologic safety of preserving facial vessels in N0 neck and use of FAMM flap have been well described by Ferrari et al10…”

“…7,8 As an axial flap, FAMM flap can be raised as either superior or inferior based on facial artery. 9 Oncologic safety of preserving facial vessels in N0 neck and use of FAMM flap have been well described by Ferrari et al 10 Local flaps commonly used include submental, nasolabial, and infra hyoid flaps. Node positivity in neck risks the use of submental flap for reconstruction.…”