Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap.
Auris Nasus Larynx
; 44(2): 220-226, 2017 Apr.
Article
en En
| MEDLINE
| ID: mdl-27452415
ABSTRACT
OBJECTIVE:
To objectively assess donor site morbidity after harvesting the facial artery musculomucosal flap. Use of the FAMM-flap in oral cavity reconstruction remains sporadic. This case series describes our newly developed standardized assessment of this flap in a floor of mouth (FOM) reconstructive setting.METHODS:
Standardized postoperative assessment of the FAMM flap for donor site wound complications, functional, facial mimetic and oncologic outcomes.RESULTS:
There were no wound complications. Oral competence remained intact, tongue mobility was good to excellent, average word articulation score was 98%, and mimetic function excellent in all patients. Three patients experienced ipsilateral upper lip anesthesia, and five patients were noted to have slight dysfunction of the orbicularis oris resulting in a loss of lip height at rest.CONCLUSION:
The FAMM flap is a reliable option for reconstruction of ablative defects of the FOM, and should be considered a workhorse flap for oral cavity defects. Unlike the submental island flap, a complete level I dissection may be concurrently performed without compromising the vascular supply to the FAMM flap.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Sonrisa
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Colgajos Quirúrgicos
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Neoplasias de la Boca
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Carcinoma de Células Escamosas
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Carcinoma Adenoide Quístico
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Músculos Faciales
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Neoplasias de Cabeza y Cuello
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Suelo de la Boca
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Mucosa Bucal
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Auris Nasus Larynx
Año:
2017
Tipo del documento:
Article