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Indian Journal of Otolaryngology and Head & Neck Surgery

Erschienen in:

27.06.2023 | Original Article

Reconstructing Small-Medium Sized Oral Cavity Defects- Our Experience with the Versatile Famm Flap

verfasst von: Kamal Kishor Lakhera, Pranav Mohan Singhal, Pinakin Patel, Agil Babu, Mahesh Daima, Aishwarya Chatterjee, Suresh Singh, Bhoopendra Singh Gora, Naina Kumar Agarwal

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 4/2023

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Abstract

Background

Restoration of form and function of the oral cavity post resection for oral cavity malignancies is an enormous challenge in head and neck reconstructive surgery. The facial artery musculo-mucosal (FAMM) flap is an unexplored, underutilized yet an extremely versatile option for such defects. In this analysis we review the performance of the FAMM flap used to reconstruct tongue/floor of mouth (FOM) defects following tumor resection.

Materials and Methods

In this retrospective analysis, demographic and disease profiles of 15 patients with Tongue and Floor of Mouth carcinomas reconstructed with a FAMM flap between January 2019 to January 2021 were studied. Complications and functional outcomes were analyzed.

Results

Fifteen patients (10 men, 5 women) were reconstructed using a FAMM flap. Mean age of the study sample was 46.46 years (28–60 years). One flap was lost due to complete flap necrosis following venous congestion, two other flaps suffered distal tip necrosis. Three patients developed an Oro-cutaneous fistula, with one going on to develop a surgical site infection of the neck wound. Patients reconstructed for FOM defects had an excellent functional outcome. For patients reconstructed for a tongue defect, 33.33% of patients complained of restricted tongue mobility and 44.44% were dissatisfied with the quality of speech post operatively.

Conclusion

The versatile FAMM flap is a reliable, easy to harvest and scarless flap. It provides excellent cosmetic and functional results FAMM flap allowing early resumption of normal daily activities making it an ideal option to reconstruct small to medium sized oral cavity defects.

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Titel: Reconstructing Small-Medium Sized Oral Cavity Defects- Our Experience with the Versatile Famm Flap
verfasst von: Kamal Kishor Lakhera
Pranav Mohan Singhal
Pinakin Patel
Agil Babu
Mahesh Daima
Aishwarya Chatterjee
Suresh Singh
Bhoopendra Singh Gora
Naina Kumar Agarwal
Publikationsdatum: 27.06.2023
Verlag: Springer India
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 4/2023
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-023-03946-4

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Reconstructing Small-Medium Sized Oral Cavity Defects- Our Experience with the Versatile Famm Flap