Waltzing a facial artery musculomucosal flap to salvage a recurrent palatal fistula.

Closure of a palatal fistula, especially after multiple recurrences, remains a complex reconstructive problem. Herein, salvage of a recurrent palatal fistula after a facial artery musculomucosal flap (FAMM) flap by use of the traditional waltzing (jumping, migration) principle of tubed pedicle flaps is presented and the principles are discussed.