Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 4 Issue 2

Salvage of Mandibular Hardware with the Facial Artery Musculomucosal (FAMM) Flap

Bar Y Ainuz1, Austin J Pourmoussa1 and Miguel A Medina2*

1Department of Surgery, Division of Plastic Surgery, Florida International University Herbert Wertheim College of Medicine, Miami, FL, USA
2Department of Plastic and Reconstructive Surgery, Miami Cancer Institute at Baptist Health South Florida, Miami, FL, USA

*Corresponding Author: Miguel A Medina, Department of Plastic and Reconstructive Surgery, Miami Cancer Institute at Baptist Health South Florida, Miami, FL, USA.

Received: November 30, 2021; Published: January 27, 2022

Abstract

The Facial Artery Musculomucosal (FAMM) flap first described by Julian Pribaz in 1992 has been proven effective for the reconstruction of numerous intraoral defects, lip, and nasal lining defects. The usage of hardware such as dentures and dental prostheses in conjunction with a FAMM flap reconstruction has been shown to provide a competent environment for functional rehabilitation and aesthetics that allow patients to return to their preoperative quality of life. To our knowledge, there are no reports describing the applicability of the FAMM flap in mandibular hardware coverage and salvage. In this case report, a 76-year-old nonsmoker female with history of several chronic medical conditions and previous resection of a symphysial mandibular ameloblastoma reconstructed with plate fixation and no bony reconstruction experienced multiple instances of mandibular hardware exposure and oral incompetence. Her mandibular hardware was ultimately successfully covered with a FAMM flap, and after subsequent revisions the patient regained oral competence and her oral functional status was improved. This case demonstrates that the FAMM flap is a viable local reconstructive option for exposed mandibular hardware in patients who are otherwise poor candidates for free flap reconstruction.

Keywords: Facial Artery Musculomucosal Flap; FAMM Flap; Mandibular Plate; Symphysial Mandibular Ameloblastoma; Case Report

References

  1. Pribaz, J., et al. “A new intraoral flap: facial artery musculomucosal (FAMM) flap”. Plastic and Reconstructive Surgery3 (1992): 421-429.
  2. Colella Giuseppe., et al. “Clinical management of squamous cell carcinoma of the tongue: patients not eligible for free flaps, a systematic review of the literature”. Expert Review of Anticancer Therapy1 (2021): 9-22.
  3. Ayad Tareck., et al. “Reconstruction of floor of mouth defects by the facial artery musculo-mucosal flap following cancer ablation”. Head and Neck4 (2008): 437-445.
  4. Pribaz J J., et al. “Lip and vermilion reconstruction with the facial artery musculomucosal flap”. Plastic and Reconstructive Surgery3 (2000): 864-872.
  5. Comini Lara Valentina., et al. “Algorithm for the treatment of oral and peri-oral defects through local flaps”. Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery 46,12 (2018): 2127-2137.
  6. Massarelli Olindo., et al. “Rational and simplified nomenclature for buccinator myomucosal flaps”. Oral and Maxillofacial Surgery4 (2017): 453-459.
  7. Ayad Tareck and Liyue Xie. “Facial artery musculomucosal flap in head and neck reconstruction: A systematic review”. Head and Neck9 (2015): 1375-1386.
  8. Jowett Nathan., et al. “Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap”. Auris, Nasus, Larynx2 (2017): 220-226.
  9. Navarro Cuéllar Carlos., et al. “Functional Outcomes with Facial Artery Musculo-Mucosal (FAMM) Flap and Dental Implants for Reconstruction of Floor of the Mouth and Tongue Defects in Oncologic Patients”. Journal of clinical medicine16 (2021): 3625.
  10. Braasch Daniel Cameron., et al. “Maxillofacial reconstruction with nasolabial and facial artery musculomucosal flaps”. Oral and Maxillofacial Surgery Clinics of North America3 (2014): 327-333.
  11. Ferrari Silvano., et al. “Oncologic safety of facial artery myomucosal flaps in oral cavity reconstruction”. Head and Neck 38 (2016): E1200-1202.
  12. Joshi A., et al. “Reconstruction of intraoral defects using facial artery musculomucosal flap”. British Journal of Plastic Surgery8 (2005): 1061-1066.
  13. Hatoko M., et al. “Use of facial artery musculomucosal flap for closure of soft tissue defects of the mandibular vestibule”. International Journal of Oral and Maxillofacial Surgery2 (2002): 210-211.

Citation

Citation: Miguel A Medina., et al. “Salvage of Mandibular Hardware with the Facial Artery Musculomucosal (FAMM) Flap".Acta Scientific Otolaryngology 4.2 (2022): 37-40.

Copyright

Copyright: © 2022 Miguel A Medina., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is October 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US