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Korean Journal of Head & Neck Oncology 2013;29(2):41-47.
Published online November 30, 2013.
Variable Applications of Facial Artery Musculomucosal Flap for Oral Cavity Reconstruction
Gwanghui Ryu;Jae Keun Cho;Han-Sin Jeong;Young-Ik Son;Chung-Hwan Baek
구강내 재건을 위한 안면 동맥 근점막 피판의 다양한 적용법
류광희;조재근;정한신;손영익;백정환
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 malig-nancies. 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 treat-ment 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 dis-section surgery, which are previously considered as some challenges, are no longer contraindication in our cases.
Key Words: Facial artery musculomucosal flap, Facial artery, Oral cavity, Reconstruction
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