Bar Y Ainuz¹, Austin J Pourmoussa¹ and Miguel A Medina²*

¹Department of Surgery, Division of Plastic Surgery, Florida International University Herbert Wertheim College of Medicine, Miami, FL, USA
²Department of Plastic and Reconstructive Surgery, Miami Cancer Institute at Baptist Health South Florida, Miami, FL, USA

*Corresponding Author: Miguel A Medina, Department of Plastic and Reconstructive Surgery, Miami Cancer Institute at Baptist Health South Florida, Miami, FL, USA.

Received: November 30, 2021; Published: January 27, 2022

Abstract

The Facial Artery Musculomucosal (FAMM) flap first described by Julian Pribaz in 1992 has been proven effective for the reconstruction of numerous intraoral defects, lip, and nasal lining defects. The usage of hardware such as dentures and dental prostheses in conjunction with a FAMM flap reconstruction has been shown to provide a competent environment for functional rehabilitation and aesthetics that allow patients to return to their preoperative quality of life. To our knowledge, there are no reports describing the applicability of the FAMM flap in mandibular hardware coverage and salvage. In this case report, a 76-year-old nonsmoker female with history of several chronic medical conditions and previous resection of a symphysial mandibular ameloblastoma reconstructed with plate fixation and no bony reconstruction experienced multiple instances of mandibular hardware exposure and oral incompetence. Her mandibular hardware was ultimately successfully covered with a FAMM flap, and after subsequent revisions the patient regained oral competence and her oral functional status was improved. This case demonstrates that the FAMM flap is a viable local reconstructive option for exposed mandibular hardware in patients who are otherwise poor candidates for free flap reconstruction.

Keywords: Facial Artery Musculomucosal Flap; FAMM Flap; Mandibular Plate; Symphysial Mandibular Ameloblastoma; Case Report

References

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Citation

Citation: Miguel A Medina., et al. “Salvage of Mandibular Hardware with the Facial Artery Musculomucosal (FAMM) Flap".Acta Scientific Otolaryngology 4.2 (2022): 37-40.

Copyright

Copyright: © 2022 Miguel A Medina., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.