Reliability of the facial artery musculomucosal flap for intraoral reconstruction in patients who have undergone previous neck dissection and radiation therapy

Maxillofacial reconstruction with nasolabial and facial artery musculomucosal flaps

The nasolabial and facial artery musculomucosal (FAMM) flaps are predictable methods to reconstruct perioral and intraoral defects with vascularized tissue. The nasolabial flap can be harvested as an axial or random patterned flap, whereas the FAMM flap is truly an axial patterned flap, with either a superior or an inferior base. Both flaps have been widely used to provide predictable results, with low morbidity. Future studies are needed to further prove their use in compromised patients, including patients with a history of head and neck radiation and neck dissections.