The Efficacy of facial artery musculomucosal flap in reconstruction of lip defects | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 16 October 2022 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2022.167082.1213 | ||
| Authors | ||
| Mohamed Hany Abouarab* 1; Abbas Eltahan1; Nasser Ghozlan1; Ahmed Esmail Elshabani2; Hassan Mahmoud Kholosy1 | ||
| 1Department of Plastic and Reconstructive Surgery and Burns, Faculty of Medicine, University of Alexandria, Alexandria, Egypt. | ||
| 2Department of Plastic and Reconstructive Surgery and Burns, Faculty of Medicine, University of Alexandria, Alexandria, Egypt | ||
| Abstract | ||
| Background: Defects of the lip represent a challenging reconstructive problem. The causes of lip defects may be trauma or following excision of benign or malignant lesions. There are several options depending on the site and size of the defect. The facial artery musculomucosal (FAMM) flap provides a reliable solution for this problem transferring tissues similar to those of the lip. Patients And Methods: This study was performed on 10 patients having lower lip defects in the period between January 2018 and September 2020 treated by FAMM flap technique at the Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Alexandria University. Before flap coverage, the lip defect was prepared by removing any necrotic tissue remaining after lip trauma. In cases of malignancy, adequate excision with safety margin was done using frozen section histopathological examination Results: Eleven FAMM flaps were performed on 10 patients. The causes of the lip defects were mainly following excision of malignant lesions. The defect was in the lower lip in eight patients and in the upper lip in two patients. The defect was central in three cases and lateral in seven cases. Unilateral flaps were done in nine patients, while bilateral flaps were used in one patient. Two patients developed partial flap necrosis which healed spontaneously. No donor site complications were reported. Conclusion: The FAMM flap is a local versatile flap that can be used for lip and vermilion reconstruction. | ||
| Keywords | ||
| Facial artery musculomucosal flap; FAMM flap; lip defect | ||
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