Joseph S T, Naveen B S, Mohan T M
Department of Head Neck Surgical Oncology, VPS Lakeshore Hospital, Cochin, Kerala, India.
Department of Head Neck Surgical Oncology, VPS Lakeshore Hospital, Cochin, Kerala, India.
Int J Oral Maxillofac Surg. 2017 Apr;46(4):453-455. doi: 10.1016/j.ijom.2016.11.010. Epub 2016 Dec 20.
Reconstruction of the tongue can be achieved by means of various local, regional, and microvascular free flaps. Local flaps commonly used for tongue reconstruction include the nasolabial flap, submental flap, infrahyoid flap, and pedicled facial artery musculomucosal (FAMM) flap. The purpose of this article is to propose a technical modification to the FAMM flap for the reconstruction of small to medium-sized tongue defects post tumour excision: islanding the flap and tunnelling it from the lingual aspect of the mandible in a single-stage procedure. Islanding of the FAMM flap was found to be an extremely useful modification, giving excellent range of movement for the flap and eliminating the need for revision in a second stage procedure.
舌重建可通过多种局部、区域和微血管游离皮瓣来实现。常用于舌重建的局部皮瓣包括鼻唇瓣、颏下瓣、舌骨下瓣和带蒂面动脉肌黏膜（FAMM）瓣。本文的目的是提出一种对FAMM瓣的技术改良，用于肿瘤切除后中小型舌缺损的重建：将皮瓣分离成岛状，并在一期手术中从下颌骨舌侧进行隧道转移。发现FAMM瓣分离成岛状是一种非常有用的改良方法，能使皮瓣有极佳的活动范围，并消除二期手术修复的必要性。
