title: Reconstruction of oral cavity defects with FAMM (facial artery musculomucosal) flaps. Our experience.
abstract: OBJECTIVE
  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.
authors.affiliation: Servicio de Otorrinolaringología, Hospital de la Santa Creu i Sant Pau, Barcelona, España. Electronic address: annasumarroca@gmail.com.
authors.forename: Anna
authors.initials: A
authors.lastname: Sumarroca
authors.affiliation: Servicio de Cirugía Plástica, Estética y Reparadora, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Elena
authors.initials: E
authors.lastname: Rodríguez-Bauzà
authors.affiliation: Servicio de Cirugía Plástica, Estética y Reparadora, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Vega
authors.affiliation: Servicio de Cirugía Plástica, Estética y Reparadora, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Fernández
authors.affiliation: Servicio de Cirugía Plástica, Estética y Reparadora, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Jaume
authors.initials: J
authors.lastname: Masià
authors.affiliation: Servicio de Otorrinolaringología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Miquel
authors.initials: M
authors.lastname: Quer
authors.affiliation: Servicio de Otorrinolaringología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: Xavier
authors.initials: X
authors.lastname: León
mesh_terms: D000328:Adult; D000368:Aged; D001184:Articulation Disorders / Q000209:etiology / Q000534:rehabilitation; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000601:surgery*; D003679:Deglutition; D005152:Facial Muscles / Q000098:blood supply / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009055:Mouth / Q000601:surgery*; D009061:Mouth Mucosa / Q000098:blood supply / Q000601:surgery; D009062:Mouth Neoplasms / Q000150:complications / Q000601:surgery*; D010610:Pharyngeal Neoplasms / Q000150:complications / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D020127:Recovery of Function; D012189:Retrospective Studies; D012907:Smoking; D013524:Surgical Flaps / Q000098:blood supply
keywords: Cavidad oral; Colgajo FAMM; Colgajo músculo-mucoso de arteria facial; FAMM flap; Facial artery musculomucosal flap; Neoplasia oral; Oral cavity; Oral neoplasia; Osteoradionecrosis; Osteorradionecrosis; Reconstrucción; Reconstruction