Advertisement
Technical Note Reconstructive Surgery| Volume 50, ISSUE 8, P1003-1008, August 2021

Download started.

Ok

Islanded facial artery osteomyomucosal/osseous flap in head and neck reconstruction

Published:December 04, 2020DOI:https://doi.org/10.1016/j.ijom.2020.11.010

      Abstract

      A local pedicled vascularized bone flap can prevent the morbidity and cost of free bone flap surgery in small segmental bone defects or long cartilaginous defects of the head and neck. Such flaps can also be useful in patients who are high risk for surgery. The periosteal vascularity of the mandible can be used to design islanded facial artery-based bone flaps, which can be utilized to that extent. Two patients with a small segmental mandibulectomy defect and one patient with a long cricotracheal resection defect underwent reconstruction using three different designs of islanded facial artery osteomyomucosal/osseous flap (iFOMM). The patients had a minimum follow-up period of 18 months. All flaps were successful, with satisfactory healing and without any functional deficit or disease at last follow-up.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to International Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Van Germet J.T.
        • Van Es R.J.
        • Rosenberg A.J.
        • Van der Bilt A.
        • Koole R.
        • Van Cann E.M.
        Free vascularized flaps for reconstruction of the mandible: complications, success, and dental rehabilitation.
        J Oral Maxillofac Surg. 2012; 70: 1692-1698https://doi.org/10.1016/j.joms.2011.08.024
        • Eskander A.
        • Kang S.
        • Tweel B.
        • Sitapara J.
        • Old M.
        • Ozer E.
        • Agrawal A.
        • Carrau R.
        • Rocco J.W.
        • Teknos T.N.
        Predictors of complications in patients receiving head and neck free flap reconstructive procedures.
        Otolaryngol Head Neck Surg. 2018; 158: 839-847
        • Massarelli O.
        • Baj A.
        • Gobbi R.
        • Soma D.
        • Marelli S.
        • De Riu G.
        • Tullio A.
        • Giannì A.B.
        Cheek mucosa: a versatile donor site of myomucosal flaps. Technical and functional considerations.
        Head Neck. 2013; 35: 109-117
        • Joseph S.T.
        • Naveen B.S.
        • Mohan M.T.
        Islanded facial artery musculomucosal flap for tongue reconstruction.
        Int J Oral Maxillofac Surg. 2017; 46: 453-455
        • Saka B.
        • Wree A.
        • Henkel K.O.
        • Anders L.
        • Gundlach K.K.
        Blood supply of the mandibular cortex: an experimental study in Göttingen minipigs with special reference to the condyle.
        J Craniomaxillofac Surg. 2002; 30: 41-45
        • Barttelbort S.W.
        • Ariyan S.
        Mandible preservation with oral cavity carcinoma: rim mandibulectomy versus sagittal mandibulectomy.
        Am J Surg. 1993; 166: 411-415
        • Moura L.B.
        • Carvalho P.H.
        • Xavier C.B.
        • Post L.K.
        • Torriani M.A.
        • Santagata M.
        • Chagas Júnior O.L.
        Autogenous nonvascularized bone graft in segmental mandibular reconstruction: a systematic review.
        Int J Oral Maxillofac Surg. 2016; 45: 1388-1394
        • Handschel J.
        • Hassanyar H.
        • Depprich R.A.
        • Ommerborn M.A.
        • Sproll K.C.
        • Hofer M.
        • Kübler N.R.
        • Naujoks C.
        Nonvascularized iliac bone grafts for mandibular reconstruction—requirements and limitations.
        In Vivo. 2011; 25: 795-800
        • Maurer P.
        • Eckert A.W.
        • Kriwalsky M.S.
        • Schubert J.
        Scope and limitations of methods of mandibular reconstruction: a long-term follow-up.
        Br J Oral Maxillofac Surg. 2010; 48 (doi: 10.1016/ j.bjoms.2009.07.005): 100-104
        • Cordeiro P.G.
        • Hidalgo D.A.
        Soft tissue coverage of mandibular reconstruction plates.
        Head Neck. 1994; 16: 112-115
        • Fong B.P.
        • Funk G.F.
        Osseous free tissue transfer in head and neck reconstruction.
        Facial Plast Surg. 1999; 15: 45-59