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...

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Autores principales:	Badr Ibrahim, Akram Rahal, Eric Bissada, Apostolos Christopoulos, Louis Guertin, Tareck Ayad
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Oral cavity Locoregional flap Free flap RFFF FAMM Surgery RD1-811
Acceso en línea:	https://doaj.org/article/8b27339d480b45ad91c7e1fef7faa42c
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spelling	oai:doaj.org-article:8b27339d480b45ad91c7e1fef7faa42c2021-12-05T12:07:27ZReconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap10.1186/s40463-021-00523-z1916-0216https://doaj.org/article/8b27339d480b45ad91c7e1fef7faa42c2021-12-01T00:00:00Zhttps://doi.org/10.1186/s40463-021-00523-zhttps://doaj.org/toc/1916-0216Abstract 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 AbstractBadr IbrahimAkram RahalEric BissadaApostolos ChristopoulosLouis GuertinTareck AyadBMCarticleOral cavityLocoregional flapFree flapRFFFFAMMSurgeryRD1-811ENJournal of Otolaryngology - Head and Neck Surgery, Vol 50, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Oral cavity Locoregional flap Free flap RFFF FAMM Surgery RD1-811
spellingShingle	Oral cavity Locoregional flap Free flap RFFF FAMM Surgery RD1-811 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
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
format	article
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
title	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_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_sort	reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap
publisher	BMC
publishDate	2021
url	https://doaj.org/article/8b27339d480b45ad91c7e1fef7faa42c
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Reconstruction of medium-size defects of the oral cavity: radial forearm free flap vs facial artery musculo-mucosal flap

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