Main Article Content
surgical flaps, reconstructive surgical procedures, larynx
Background: A multitude of flaps have been used in post-laryngectomy reconstruction, involving different operative sites and histologically different donor tissue types.
Methods: Plastic surgeons have used the pedicled facial artery myomucosal (FAMM) flap to reconstruct a perilaryngeal defect following resection of a low-grade thyroid chondrosarcoma.
Results: On six-week postoperative review, the patient was eating and swallowing well, and speech was intelligible. On five-year review, the flap looked like normal mucosa and a patent airway was maintained.
Conclusion: The FAMM flap provided a novel solution with excellent functional results and no donor site morbidity, warranting its consideration for perilaryngeal defects.
2. Gilbert RW, Goldstein DP, Guillemaud JP, Patel RS, Higgins KM, Enepekides DJ. Vertical partial laryngectomy with temporoparietal free flap reconstruction for recurrent laryngeal squamous cell carcinoma: technique and long-term outcomes. Arch Otolaryngol Head Neck Surg. 2012;138(5):484–91. https://doi.org/10.1001/archoto.2012.410. PMid:22652947
3. Su CY, Hwang CF. Near-total laryngopharyngectomy with pectoralis major myocutaneous flap in advanced pyriform carcinoma. J Laryngol Otol.1993;107(9):817–20. https://doi.org/10.1017/S0022215100124508. PMid:8228597
4. Delaere PR, Vander Poorten V, Goeleven A, Feron M, Hermans R. Tracheal autotransplantation: a reliable reconstructive technique. Laryngoscope. 2009;108(6):929–34. https://doi.org/10.1097/00005537-199806000-00025. PMid:9628512
5. Fujiwara T, Maeda M, Kuwait K, Nakagawa T, Nakao K. Free-prefabricated auricular composite graft: a new method for reconstruction following extended hemi-laryngectomy. J Plast Reconstr Aes. 2005;58(2):153–57. https://doi.org/10.1016/j.bjps.2004.04.026. PMid:15710107
6. Butcher RB, Dunham M. Composite nasal septal cartilage graft for reconstruction after extended frontolateral hemi-laryngectomy. Laryngoscope. 1984;94(7):959–62. https://doi.org/10.1288/00005537-198407000-00019. PMid:6738277
7. Pribaz J, Stephens W, Crespo L, Gifford G. A new intraoral flap: facial artery musculomucosal (FAMM) flap. Plast Reconstr Surg.1992;90(3):421–29. https://doi.org/10.1097/00006534-199209000-00009. PMid:1513887
8. Ayad T, Xie L. Facial artery musculomucosal flap in head and neck reconstruction: a systematic review. Head Neck. 2015;37(9):1375–386. https://doi.org/10.1002/hed.23734. PMid:24798986
9. Sumarroca A, Rodriguez-Bauza E, Vega C, Fernandez, M Masia, J, Quer M, Leon X. Reconstruction of oral cavity defects with FAMM (facial artery musculomucosal) flaps. Our experience. Acta Otorrinolaringol Esp. 2015;66(5):275¬–80. https://doi.org/10.1016/j.otorri.2014.10.003. PMid:25597254
10. Massarelli O. Cheek mucosa: a versatile donor site of myomucosal flaps. Technical and functional considerations. Head Neck. 2013;35(1):109. https://doi.org/10.1002/hed.22933. PMid:22290874