Reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap
Abstract Background The radial forearm free flap (RFFF) is the most commonly used flap for defects of the oral cavity. The facial artery musculomucosal (FAMM) is a safe and effective method to reconstruct medium sized defects of the oral cavity. No comparison exists between the FAMM flap and RFFF. M...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-12-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40463-021-00523-z |
| _version_ | 1797965846564306944 |
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| author | Badr Ibrahim Akram Rahal Eric Bissada Apostolos Christopoulos Louis Guertin Tareck Ayad |
| author_facet | Badr Ibrahim Akram Rahal Eric Bissada Apostolos Christopoulos Louis Guertin Tareck Ayad |
| author_sort | Badr Ibrahim |
| collection | DOAJ |
| description | Abstract Background The radial forearm free flap (RFFF) is the most commonly used flap for defects of the oral cavity. The facial artery musculomucosal (FAMM) is a safe and effective method to reconstruct medium sized defects of the oral cavity. No comparison exists between the FAMM flap and RFFF. Methods 1) Retrospective chart review from 2007 to 2016. 2) Cost difference analysis. Results Thirteen FAMM flap cases and 18 RFFF met inclusion criteria. The FAMM flap showed a tendency to lower rates of return to the operating room (p = 0.065) as well as lower rates of complications not requiring return to the OR with 1 complication in 1 patient as opposed to 10 patients with 15 complications (p = 0.008). Also, FAMM flap had shorter operative times compared to the RFFF group (7.2HR and 8.9 HR respectively, p = 0.002). The average operative room related costs for a FAMM flap were 6510 CAD vs 10,703 CAD for RFFF (p < 0.0005). Speech and swallowing outcomes were similar (p > 0.05). Conclusion The FAMM flap can be used for reconstruction of medium-size defects of the oral cavity with functional outcomes similar to the RFFF while decreasing the associated costs and morbidity. Graphical Abstract |
| first_indexed | 2024-04-11T02:05:17Z |
| format | Article |
| id | doaj.art-8b27339d480b45ad91c7e1fef7faa42c |
| institution | Directory Open Access Journal |
| issn | 1916-0216 |
| language | English |
| last_indexed | 2024-04-11T02:05:17Z |
| publishDate | 2021-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj.art-8b27339d480b45ad91c7e1fef7faa42c2023-01-03T03:10:58ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162021-12-0150111210.1186/s40463-021-00523-zReconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flapBadr Ibrahim0Akram Rahal1Eric Bissada2Apostolos Christopoulos3Louis Guertin4Tareck Ayad5Division of Otolaryngology-Head & neck Surgery, Université de Montréal, Hôpital Sacré Coeur de MontréalDivision of Otolaryngology-Head and Neck Surgery, Université de Montréal, Hôpital Maisonneuve-RosemontDivision of Otolaryngology-Head and Neck Surgery, Université de Montréal, Centre Hospitalier de l’Université de MontréalDivision of Otolaryngology-Head and Neck Surgery, Université de Montréal, Centre Hospitalier de l’Université de MontréalDivision of Otolaryngology-Head and Neck Surgery, Université de Montréal, Centre Hospitalier de l’Université de MontréalDivision of Otolaryngology-Head and Neck Surgery, Université de Montréal, Hôpital Maisonneuve-RosemontAbstract Background The radial forearm free flap (RFFF) is the most commonly used flap for defects of the oral cavity. The facial artery musculomucosal (FAMM) is a safe and effective method to reconstruct medium sized defects of the oral cavity. No comparison exists between the FAMM flap and RFFF. Methods 1) Retrospective chart review from 2007 to 2016. 2) Cost difference analysis. Results Thirteen FAMM flap cases and 18 RFFF met inclusion criteria. The FAMM flap showed a tendency to lower rates of return to the operating room (p = 0.065) as well as lower rates of complications not requiring return to the OR with 1 complication in 1 patient as opposed to 10 patients with 15 complications (p = 0.008). Also, FAMM flap had shorter operative times compared to the RFFF group (7.2HR and 8.9 HR respectively, p = 0.002). The average operative room related costs for a FAMM flap were 6510 CAD vs 10,703 CAD for RFFF (p < 0.0005). Speech and swallowing outcomes were similar (p > 0.05). Conclusion The FAMM flap can be used for reconstruction of medium-size defects of the oral cavity with functional outcomes similar to the RFFF while decreasing the associated costs and morbidity. Graphical Abstracthttps://doi.org/10.1186/s40463-021-00523-zOral cavityLocoregional flapFree flapRFFFFAMM |
| spellingShingle | Badr Ibrahim Akram Rahal Eric Bissada Apostolos Christopoulos Louis Guertin Tareck Ayad Reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap Journal of Otolaryngology - Head and Neck Surgery Oral cavity Locoregional flap Free flap RFFF FAMM |
| title | Reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap |
| title_full | Reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap |
| title_fullStr | Reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap |
| title_full_unstemmed | Reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap |
| title_short | Reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap |
| title_sort | reconstruction of medium size defects of the oral cavity radial forearm free flap vs facial artery musculo mucosal flap |
| topic | Oral cavity Locoregional flap Free flap RFFF FAMM |
| url | https://doi.org/10.1186/s40463-021-00523-z |
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