The Arterialized Facial Artery Musculo-Mucosal Island Flap for Post-Oncological Tongue Reconstruction

Alessandro Moro, Gianmarco Saponaro, Piero Doneddu, Daniele Cervelli, Sandro Pelo, Giulio Gasparini, Umberto Garagiola, Giuseppe D'Amato, Mattia Todaro

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: In 1992, Pribaz described the facial artery musculomucosal flap (FAMM), an axial musculomucosal flap based on the facial artery. The FAMM flap, a modification of the nasolabial and buccal mucosal flaps, is widely used in the reconstruction of defects in the oral cavity. Many modifications of this flap have been described in the literature. Here we aimed to explore the use of an arterialized tunnelized FAMM island flap (a-FAMMIF) for the reconstruction tongue defects after tumor resection. METHOD: From January 2015 to December 2016, five cases of tongue cancer were selected for the use of arterialized FAMMIF flap to reconstruct defects after tumor resection. RESULTS: Reconstruction was successful in all cases, except one case of total flap necrosis; partial necrosis of the flap occurred in two patients, which were solved with medications. CONCLUSION: The authors consider the a-FAMMIF an unreliable flap in the reconstruction of tongue defects.The authors recommend avoiding tunneling and island modification when the vein is not included in the pedicle.

Original languageEnglish
Pages (from-to)2021-2025
Number of pages5
JournalThe Journal of craniofacial surgery
Volume29
Issue number8
DOIs
Publication statusPublished - Nov 1 2018

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Surgical Flaps
Tongue
Arteries
Necrosis
Tongue Neoplasms
Cheek
Islands
Mouth
Veins
Neoplasms

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

The Arterialized Facial Artery Musculo-Mucosal Island Flap for Post-Oncological Tongue Reconstruction. / Moro, Alessandro; Saponaro, Gianmarco; Doneddu, Piero; Cervelli, Daniele; Pelo, Sandro; Gasparini, Giulio; Garagiola, Umberto; D'Amato, Giuseppe; Todaro, Mattia.

In: The Journal of craniofacial surgery, Vol. 29, No. 8, 01.11.2018, p. 2021-2025.

Research output: Contribution to journalArticle

Moro, A, Saponaro, G, Doneddu, P, Cervelli, D, Pelo, S, Gasparini, G, Garagiola, U, D'Amato, G & Todaro, M 2018, 'The Arterialized Facial Artery Musculo-Mucosal Island Flap for Post-Oncological Tongue Reconstruction', The Journal of craniofacial surgery, vol. 29, no. 8, pp. 2021-2025. https://doi.org/10.1097/SCS.0000000000004610
Moro, Alessandro ; Saponaro, Gianmarco ; Doneddu, Piero ; Cervelli, Daniele ; Pelo, Sandro ; Gasparini, Giulio ; Garagiola, Umberto ; D'Amato, Giuseppe ; Todaro, Mattia. / The Arterialized Facial Artery Musculo-Mucosal Island Flap for Post-Oncological Tongue Reconstruction. In: The Journal of craniofacial surgery. 2018 ; Vol. 29, No. 8. pp. 2021-2025.
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AU - Pelo, Sandro

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AB - BACKGROUND: In 1992, Pribaz described the facial artery musculomucosal flap (FAMM), an axial musculomucosal flap based on the facial artery. The FAMM flap, a modification of the nasolabial and buccal mucosal flaps, is widely used in the reconstruction of defects in the oral cavity. Many modifications of this flap have been described in the literature. Here we aimed to explore the use of an arterialized tunnelized FAMM island flap (a-FAMMIF) for the reconstruction tongue defects after tumor resection. METHOD: From January 2015 to December 2016, five cases of tongue cancer were selected for the use of arterialized FAMMIF flap to reconstruct defects after tumor resection. RESULTS: Reconstruction was successful in all cases, except one case of total flap necrosis; partial necrosis of the flap occurred in two patients, which were solved with medications. CONCLUSION: The authors consider the a-FAMMIF an unreliable flap in the reconstruction of tongue defects.The authors recommend avoiding tunneling and island modification when the vein is not included in the pedicle.

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