Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

Variable Applications of Facial Artery Musculomucosal Flap for Oral Cavity Reconstruction

구강내 재건을 위한 안면 동맥 근점막 피판의 다양한 적용법

  • Ryu, Gwanghui (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Cho, Jae Keun (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeong, Han-Sin (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Son, Young-Ik (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Baek, Chung-Hwan (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 류광희 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 조재근 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 정한신 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 손영익 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 백정환 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실)
  • Received : 2013.10.17
  • Accepted : 2013.11.05
  • Published : 2013.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background : The purpose of this study is to review our experience with the variable applications of the facial artery muscolomucosal(FAMM) flap for oral cavity reconstruction following treatment for head and neck malignancies. Methods : We performed retrospect medical record review from January 2012 to June 2013. This flap technique was applied in 3 patients to reconstruct the defects of oral cavity induced by treatment for head and neck malignancies. Results : The defects and fibrosis occurred due to variable causes related to previous treatment for head and neck malignancies such as tumor resection and chemoradiation. Two patient suffered from defect on hard and soft palate and one patient suffered from trismus related to fibrotic scar band. We performed oral cavity reconstruction using FAMM flap even though these all patients had history of neck dissection surgery or radiation therapy. Conclusion : FAMM flap is an ideal option for reconstruction following treatment not only for primary tumor resection but also for defects induced by variable causes. Preoperative radiation and neck dissection surgery, which are previously considered as some challenges, are no longer contraindication in our cases.

Keywords

References

  1. Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E. Myomucosal cheek flaps: applications in intraoral reconstruction using three different techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(3):353-359. https://doi.org/10.1016/j.tripleo.2009.04.021
  2. Baker SR. Regional flaps in facial reconstruction. Otolaryngol Clin North Am. 1990;23(5):925-946.
  3. Lazaridis N, Tilaveridis I, Karakasis D. Superiorly or inferiorly based "islanded" nasolabial flap for buccal mucosa defects reconstruction. J Oral Maxillofac Surg. 2008;66(1):7-15. https://doi.org/10.1016/S0278-2391(08)01605-4
  4. Martin D, Pascal JF, Baudet J, Mondie JM, Farhat JB, Athoum A, et al. The submental island flap: A new donor site. Anatomy and clinical applications as a free or pedicled flap. Plast Reconstr Surg. 1993;92(5):867-873. https://doi.org/10.1097/00006534-199392050-00013
  5. Cordeiro PG, Wolfe SA. The temporalis muscle flap revisited on its centennial: Advantages, newer uses, and disadvantages. Plast Reconstr Surg. 1996;98(6):980-987. https://doi.org/10.1097/00006534-199611000-00008
  6. Chien CY, Hwang CF, Chuang HC, Jeng SF, Su CY. Comparison of radial forearm free flap, pedicled buccal fat pad flap and split-thickness skin graft in reconstruction of buccal mucosal defect. Oral Oncol. 2005;41(7):694-697. https://doi.org/10.1016/j.oraloncology.2005.03.002
  7. Bozola AR, Gasques JA, Carriquiry CE, Cardoso de Oliveira M. The buccinator musculomucosal flap: Anatomic study and clinical application. Plast Reconstr Surg. 1989;84(2):250-257. https://doi.org/10.1097/00006534-198908000-00010
  8. Pribaz J, Stephens W, Crespo L, Gifford G. A new intraoral flap: Facial artery musculomucosal(FAMM) flap. Plast Reconstr Surg. 1992;90(3):421-429. https://doi.org/10.1097/00006534-199209000-00009
  9. Zhao Z, Li S, Yan Y, Li Y, Yang M, Mu L, et al. New buccinator myomucosal island flap: Anatomic study and clinical application. Plast Reconstr Surg. 1999;104(1):55-64. https://doi.org/10.1097/00006534-199907000-00008
  10. Ayad T, Kolb F, De Mones E, Mamelle G, Temam S. Reconstruction of floor of mouth defects by the facial artery musculomucosal flap following cancer ablation. Head Neck. 2008;30(4):437-445. https://doi.org/10.1002/hed.20722
  11. Shetty R, Lamba S, Gupta AK. Role of Facial Artery Musculomucosal Flap in Large and Recurrent Palatal Fistulae. The Cleft Palate-Craniofacial Journal: Official Publication of the American Cleft Palate-Craniofacial Association 2013.
  12. Tezel E. Buccal mucosal flaps: A review. Plast Reconstr Surg. 2002;109(2):735-741. https://doi.org/10.1097/00006534-200202000-00048
  13. Joshi A, Rajendraprasad JS, Shetty K. Reconstruction of intraoral defects using facial artery musculomucosal flap. Br J Plast Surg. 2005;58(8):1061-1066. https://doi.org/10.1016/j.bjps.2005.04.052
  14. Fassio E, Laure B, Durand JL, Bonin B, Aboumoussa J, Ballon G, et al. The facial artery-buccinator musculo-mucosal flap for reconstruction of the palate. Rev Stomatol Chir Maxillofac. 1999;100(5):221-225, 1999
  15. Genden EM, Wallace DI, Okay D, Urken ML. Reconstruction of the hard palate using the radial forearm free flap: Indications and outcomes. Head Neck. 2004;26(9):808-814. https://doi.org/10.1002/hed.20026
  16. Pribaz JJ, Meara JG, Wright S, Smith JD, Stephens W, Breuing KH. Lip and vermilion reconstruction with the facial artery musculomucosal flap. Plast Reconstr Surg. 2000;105(3):864-872. https://doi.org/10.1097/00006534-200003000-00007
  17. Ono I, Gunji H, Tateshita T, Sanbe N. Reconstruction of defects of the entire vermilion with a buccal musculomucosal flap following resection of malignant tumors of the lower lip. Plast Reconstr Surg. 1997;100(2):422-430. https://doi.org/10.1097/00006534-199708000-00024
  18. Baj A, Rocchetta D, Beltramini G, Gianni AB. FAMM flap reconstruction of the inferior lip vermilion: Surgery during early infancy. J Plast Reconstr Aesthet Surg. 2008;61(4):425-427. https://doi.org/10.1016/j.bjps.2006.03.071
  19. Hatoko M, Kuwahara M, Tanaka A, Yurugi S. Use of facial artery musculomucosal flap for closure of soft tissue defects of the mandibular vestibule. International Journal of Oral and Maxillofacial Surgery. 2002;31(2):210-211. https://doi.org/10.1054/ijom.2002.0235
  20. O'Leary P, Bundgaard T. Good results in patients with defects after intraoral tumour excision using facial artery musculomucosal flap. Dan Med Bull. 2011;58(5):A4264.