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Inicio Acta Otorrinolaringológica Española Reconstruction of Oral Cavity Defects With FAMM (Facial Artery Musculomucosal) F...
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Vol. 66. Issue 5.
Pages 275-280 (September - October 2015)
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Vol. 66. Issue 5.
Pages 275-280 (September - October 2015)
Original article
Reconstruction of Oral Cavity Defects With FAMM (Facial Artery Musculomucosal) Flaps. Our Experience
Reconstrucción de defectos de cavidad oral con colgajos tipo FAMM (colgajo músculo-mucoso de arteria facial). Nuestra experiencia
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Anna Sumarrocaa,
Corresponding author
annasumarroca@gmail.com

Corresponding author.
, Elena Rodríguez-Bauzàb, Carmen Vegab, Manuel Fernándezb, Jaume Masiàb, Miquel Quera, Xavier Leóna
a Servicio de Otorrinolaringología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
b Servicio de Cirugía Plástica, Estética y Reparadora, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
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Tables (2)
Table 1. Indications for Reconstruction With FAMM Flaps.
Table 2. Inherent Advantages and Disadvantages of Using FAMM Flaps in the Oral Cavity and Oropharynx.
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Abstract
Introduction and objectives

The facial artery musculomucosal (FAMM) flap is a good option for covering small and medium-sized defects in the oral cavity because of its similar tissue characteristics and easy implementation.

Methods

We reviewed our results using this flap between 2006 and 2014. A total of 20 patients were included and 25 FAMM flaps were performed, 16 right (64%) and 9 left (36%) flaps. Five patients had simultaneous bilateral reconstructions. The indications for flap surgery were reconstruction after resection of tumours in the floor of the mouth (8 cases, 40%), tumours in other sites of the oral cavity (4 cases, 20%), mandibular osteoradionecrosis (4 cases, 20%), oroantral fistula (3 cases, 15%), and postoperative ankyloglossia (one case, 5%).

Results

Reconstruction was successful in 92% of cases (n=23). Total flap necrosis occurred in one case and dehiscence with exposure of bone in another. Oral function and ingestion were satisfactory in all patients.

Conclusions

The facial artery musculomucosal flap is reliable and versatile for reconstruction of small and medium-sized intraoral defects. It allows functional reconstruction of the oral cavity with a low risk of complications.

Keywords:
Facial artery musculomucosal flap
FAMM flap
Oral neoplasia
Reconstruction
Oral cavity
Osteoradionecrosis
Resumen
Introducción y objetivos

El colgajo músculo-mucoso de arteria facial (FAMM) es un buen recurso para la cobertura de defectos intraorales de pequeño y mediano tamaño debido a sus características tisulares y a su facilidad de realización.

Métodos

Revisión retrospectiva de los resultados obtenidos con el colgajo, realizados en nuestro centro durante el periodo 2006–2014. Se intervino a un total de 20 pacientes sobre los que se realizaron 25 colgajos tipo FAMM, 16 derechos (64%) y 9 izquierdos (36%). El colgajo se utilizó de forma bilateral y simultánea en 5 pacientes. Las indicaciones para la realización de los colgajos fueron: reconstrucción tras exéresis de neoplasias del suelo de la boca (8 casos; 40%), neoplasias en otras localizaciones de cavidad oral (4 casos; 20%), osteorradionecrosis mandibular (4 casos; 20%), fístula oroantral (3 casos; 15%) y anquiloglosia posquirúrgica (un caso; 5%).

Resultados

El colgajo consiguió una reconstrucción satisfactoria en el 92% de los casos (n=23). Se produjo una necrosis del colgajo en una ocasión, y una dehiscencia con exposición de hueso subyacente en otra ocasión. Se consiguió una ingesta y función oral satisfactoria en la totalidad de los pacientes.

Conclusiones

Dada su fiabilidad y versatilidad, el colgajo músculo-mucoso de arteria facial es una técnica adecuada para la reconstrucción de defectos orales de pequeño y mediano tamaño. Permite una reconstrucción funcional adecuada de la cavidad oral con escaso riesgo de complicaciones.

Palabras clave:
Colgajo músculo-mucoso de arteria facial
Colgajo FAMM
Neoplasia oral
Reconstrucción
Cavidad oral
Osteorradionecrosis

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