Moro Alessandro, Saponaro Gianmarco, Doneddu Piero, Cervelli Daniele, Pelo Sandro, Gasparini Giulio, Garagiola Umberto, D'Amato Giuseppe, Todaro Mattia
Maxillofacial Surgery Unit, Faculty of Medicine, University Hospital 'A. Gemelli,' Catholic University of the Sacred Heart, Rome.
Department of Biomedical, Surgical and Oral Sciences, School of Dentistry, University of Milan, Milan, Italy.
J Craniofac Surg. 2018 Nov;29(8):2021-2025. doi: 10.1097/SCS.0000000000004610.
In 1992, Pribaz described the facial artery musculomucosal flap (FAMM), an axial musculomucosal flap based on the facial artery. The FAMM flap, a modification of the nasolabial and buccal mucosal flaps, is widely used in the reconstruction of defects in the oral cavity. Many modifications of this flap have been described in the literature. Here we aimed to explore the use of an arterialized tunnelized FAMM island flap (a-FAMMIF) for the reconstruction tongue defects after tumor resection.
From January 2015 to December 2016, five cases of tongue cancer were selected for the use of arterialized FAMMIF flap to reconstruct defects after tumor resection.
Reconstruction was successful in all cases, except one case of total flap necrosis; partial necrosis of the flap occurred in two patients, which were solved with medications.
The authors consider the a-FAMMIF an unreliable flap in the reconstruction of tongue defects.The authors recommend avoiding tunneling and island modification when the vein is not included in the pedicle.
1992年，普里巴兹描述了面动脉肌黏膜瓣（FAMM），这是一种基于面动脉的轴型肌黏膜瓣。FAMM瓣是鼻唇沟和颊黏膜瓣的改良术式，广泛应用于口腔缺损的修复。文献中已描述了该瓣的多种改良术式。在此，我们旨在探讨动脉化隧道式FAMM岛状瓣（a-FAMMIF）在肿瘤切除术后舌缺损修复中的应用。
2015年1月至2016年12月，选取5例舌癌患者，采用动脉化FAMMIF瓣修复肿瘤切除后的缺损。
除1例皮瓣完全坏死外，其余病例修复均成功；2例患者出现皮瓣部分坏死，经药物治疗后解决。
作者认为a-FAMMIF在舌缺损修复中是一种不可靠的皮瓣。作者建议，当蒂部不包含静脉时，应避免采用隧道式和岛状改良术式。
