Comparison of islanded facial artery myomucosal flap with fasciocutaneous free flaps in the reconstruction of lateral oral tongue defects |
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| Institution: | 1. Department of Head and Neck Surgical Oncology, VPS Lakeshore Hospital, Cochin, Kerala, India;2. Department of Plastic Surgery, VPS Lakeshore Hospital, Cochin, Kerala, India;1. Institute of Maxillofacial Surgery, Teknon Medical Centre Barcelona, Barcelona, Spain;2. Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain;1. Department of Neurosurgery, Medical University of Vienna, Vienna, Austria;2. Institute of Science and Technology Austria, Klosterneuburg, Austria;3. Institute for Simulation and Graphics, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany;4. Department of Radiology, Medical University of Vienna, Vienna, Austria;5. Centre for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria;6. Department of Neurosurgery, Neuroscience Institute, Qatar;7. Department of Oral and Maxillofacial Surgery Medical University of Vienna, Vienna, Austria;1. Department of Periodontics, The Affiliated Stomatology Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China;2. Key Laboratory of Oral Biomedical Research of Zhejiang Province, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China;3. Zhejiang Provincial Centre for Disease Control and Prevention, Hangzhou, Zhejiang, China;4. Department of Oral Implantology and Prosthodontics, The Affiliated Stomatology Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China;1. Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands;2. Department of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands |
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| Abstract: | The aim of this study was to determine whether the islanded facial artery myomucosal flap (iFAMM) is a good alternative to fasciocutaneous free flaps (FCFF) in the reconstruction of lateral oral tongue defects. This was a retrospective study of 40 patients with oral tongue cancers (lateral lesions not >4 cm) operated on between August 2014 and March 2017, who underwent primary reconstruction with either an iFAMM or FCFF. The two groups were compared with respect to intraoperative time, total intensive care unit (ICU) and hospital stay, complications, speech, swallowing, aesthetics, donor site morbidity, and economic feasibility. Patients who had an iFAMM had a reduced operating time, duration of ICU stay, and length of hospitalization; this flap was also more economically feasible. Better aesthetics and less donor site morbidity were also seen. The iFAMM is an alternative to FCFF in the reconstruction of lateral oral tongue defects, as it is less technically demanding, has good aesthetic outcomes, and is more economical, with acceptable donor site morbidity. |
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| Keywords: | iFAMM flap FAMM flap tongue reconstruction fasciocutaneous free flaps carcinoma tongue oral cancer |
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