Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap

Nathan Jowett; Tessa A Hadlock; Eyal Sela; Miklos Toth; Rainald Knecht; Balazs B Lörincz

doi:10.1016/j.anl.2016.07.004

Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap

Standard

Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap. / Jowett, Nathan; Hadlock, Tessa A; Sela, Eyal; Toth, Miklos; Knecht, Rainald; Lörincz, Balazs B.

In: AURIS NASUS LARYNX, Vol. 44, No. 2, 04.2017, p. 220-226.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Jowett, N, Hadlock, TA, Sela, E, Toth, M, Knecht, R & Lörincz, BB 2017, 'Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap', AURIS NASUS LARYNX, vol. 44, no. 2, pp. 220-226. https://doi.org/10.1016/j.anl.2016.07.004

APA

Jowett, N., Hadlock, T. A., Sela, E., Toth, M., Knecht, R., & Lörincz, B. B. (2017). Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap. AURIS NASUS LARYNX, 44(2), 220-226. https://doi.org/10.1016/j.anl.2016.07.004

Vancouver

Jowett N, Hadlock TA, Sela E, Toth M, Knecht R, Lörincz BB. Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap. AURIS NASUS LARYNX. 2017 Apr;44(2):220-226. https://doi.org/10.1016/j.anl.2016.07.004

Bibtex

@article{033781f0e5034df3ad304ae556678fa2,

title = "Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap",

abstract = "OBJECTIVE: To objectively assess donor site morbidity after harvesting the facial artery musculomucosal flap. Use of the FAMM-flap in oral cavity reconstruction remains sporadic. This case series describes our newly developed standardized assessment of this flap in a floor of mouth (FOM) reconstructive setting.METHODS: Standardized postoperative assessment of the FAMM flap for donor site wound complications, functional, facial mimetic and oncologic outcomes.RESULTS: There were no wound complications. Oral competence remained intact, tongue mobility was good to excellent, average word articulation score was 98%, and mimetic function excellent in all patients. Three patients experienced ipsilateral upper lip anesthesia, and five patients were noted to have slight dysfunction of the orbicularis oris resulting in a loss of lip height at rest.CONCLUSION: The FAMM flap is a reliable option for reconstruction of ablative defects of the FOM, and should be considered a workhorse flap for oral cavity defects. Unlike the submental island flap, a complete level I dissection may be concurrently performed without compromising the vascular supply to the FAMM flap.",

author = "Nathan Jowett and Hadlock, {Tessa A} and Eyal Sela and Miklos Toth and Rainald Knecht and L{\"o}rincz, {Balazs B}",

year = "2017",

month = apr,

doi = "10.1016/j.anl.2016.07.004",

language = "English",

volume = "44",

pages = "220--226",

journal = "AURIS NASUS LARYNX",

issn = "0385-8146",

publisher = "Elsevier Ireland Ltd",

number = "2",

}

RIS

TY - JOUR

T1 - Facial mimetic, cosmetic, and functional standardized assessment of the facial artery musculomucosal (FAMM) flap

AU - Jowett, Nathan

AU - Hadlock, Tessa A

AU - Sela, Eyal

AU - Toth, Miklos

AU - Knecht, Rainald

AU - Lörincz, Balazs B

PY - 2017/4

Y1 - 2017/4

N2 - OBJECTIVE: To objectively assess donor site morbidity after harvesting the facial artery musculomucosal flap. Use of the FAMM-flap in oral cavity reconstruction remains sporadic. This case series describes our newly developed standardized assessment of this flap in a floor of mouth (FOM) reconstructive setting.METHODS: Standardized postoperative assessment of the FAMM flap for donor site wound complications, functional, facial mimetic and oncologic outcomes.RESULTS: There were no wound complications. Oral competence remained intact, tongue mobility was good to excellent, average word articulation score was 98%, and mimetic function excellent in all patients. Three patients experienced ipsilateral upper lip anesthesia, and five patients were noted to have slight dysfunction of the orbicularis oris resulting in a loss of lip height at rest.CONCLUSION: The FAMM flap is a reliable option for reconstruction of ablative defects of the FOM, and should be considered a workhorse flap for oral cavity defects. Unlike the submental island flap, a complete level I dissection may be concurrently performed without compromising the vascular supply to the FAMM flap.

AB - OBJECTIVE: To objectively assess donor site morbidity after harvesting the facial artery musculomucosal flap. Use of the FAMM-flap in oral cavity reconstruction remains sporadic. This case series describes our newly developed standardized assessment of this flap in a floor of mouth (FOM) reconstructive setting.METHODS: Standardized postoperative assessment of the FAMM flap for donor site wound complications, functional, facial mimetic and oncologic outcomes.RESULTS: There were no wound complications. Oral competence remained intact, tongue mobility was good to excellent, average word articulation score was 98%, and mimetic function excellent in all patients. Three patients experienced ipsilateral upper lip anesthesia, and five patients were noted to have slight dysfunction of the orbicularis oris resulting in a loss of lip height at rest.CONCLUSION: The FAMM flap is a reliable option for reconstruction of ablative defects of the FOM, and should be considered a workhorse flap for oral cavity defects. Unlike the submental island flap, a complete level I dissection may be concurrently performed without compromising the vascular supply to the FAMM flap.

U2 - 10.1016/j.anl.2016.07.004

DO - 10.1016/j.anl.2016.07.004

M3 - SCORING: Journal article

C2 - 27452415

VL - 44

SP - 220

EP - 226

JO - AURIS NASUS LARYNX

JF - AURIS NASUS LARYNX

SN - 0385-8146

IS - 2

ER -