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Facial Reconstruction Using Facial Artery Myomucosal Flap: A Comprehensive Review
Bader Fatani1, Abdulrahman I Alhilal1, Hadeel H Alzahrani2
1Dentistry, College of Dentistry, King Saud University, Riyadh, SAU.
Cureus
|August 21, 2023
Summary
The facial artery myomucosal (FAMM) flap offers a reliable method for head and neck reconstruction. This review synthesizes current literature on FAMM flap applications in facial defect repair.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Head and Neck Surgery
Background:
- The facial artery myomucosal (FAMM) flap is a reconstructive tool utilizing oral mucosa and buccinator muscle.
- It provides a robust blood supply for head and neck defect repair.
- Existing literature lacks a comprehensive, updated review of FAMM flaps in facial reconstruction.
Purpose of the Study:
- To conduct a comprehensive review of existing studies on the use of FAMM flaps in facial reconstruction.
- To consolidate current knowledge on FAMM flap applications and outcomes.
- To provide an updated resource for surgeons utilizing this technique.
Main Methods:
- Systematic literature search of relevant databases.
- Inclusion of studies detailing FAMM flap use in facial reconstruction.
- Synthesis and analysis of data from selected studies.
Main Results:
- The FAMM flap is a versatile option for oral cavity defects, including floor of mouth, alveolar cleft, and tongue reconstruction.
- Studies demonstrate its reliability and effectiveness in various facial defect repairs.
- This review highlights the flap's utility and successful application in numerous cases.
Conclusions:
- The facial artery myomucosal flap is a valuable and dependable technique for head and neck reconstruction.
- Further research can build upon this review to refine surgical techniques and expand applications.
- This review serves as an updated guide for the application of FAMM flaps in facial reconstruction.

