[肌肉-黏膜面动脉皮瓣：切取技术与适应证]

[The musculo-mucosal facial artery flap: harvesting technique and indications].

作者信息

Ayad T, Kolb F, De Monès E, Mamelle G, Tan H K, Temam S

机构信息

Service d'ORL et chirurgie cervicofaciale, institut de cancérologie Gustave-Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif, France.

出版信息

Ann Chir Plast Esthet. 2008 Dec;53(6):487-94. doi: 10.1016/j.anplas.2008.04.001. Epub 2008 Oct 19.

DOI:10.1016/j.anplas.2008.04.001

PMID:18938013

Abstract

OBJECTIVES

Describe the anatomy and the harvesting technique of the facial artery musculo-mucosal flap (FAMM) and precise its indications in head and neck reconstruction.

METHODS

Retrospective review of our experience and review of the literature.

RESULTS

Described by Pribaz et al. [Plast Reconstr Surg 90 (1992) 421-9] in 1992, the FAMM flap relies on the facial artery and can be used with a superior or inferior base depending on the deficit to be reconstructed. Venous drainage is usually assured by buccal plexus veinules instead of the facial vein. In our experience, the FAMM flap has been used mainly for limited soft tissue defects of the oral cavity following cancer ablation. Other indications were coverage of oropharyngeal, intranasal and orbital defects. The FAMM flap has also been used to treat mandibular osteoradionecrosis.

CONCLUSIONS

Harvesting of the FAMM flap is easy and safe. This flap shows versatility in head and neck reconstruction.

摘要

目的

描述面动脉肌黏膜瓣（FAMM）的解剖结构和切取技术，并明确其在头颈部重建中的适应证。

方法

回顾我们的经验并复习文献。

结果

1992年由普里巴兹等人[《整形与重建外科》90（1992）421 - 429]描述，FAMM瓣依靠面动脉供血，可根据待重建的缺损情况采用上蒂或下蒂。静脉回流通常由颊静脉丛的小静脉而非面静脉保证。根据我们的经验，FAMM瓣主要用于癌症切除术后口腔的局限性软组织缺损。其他适应证包括口咽、鼻内和眼眶缺损的覆盖。FAMM瓣也已用于治疗下颌骨放射性骨坏死。