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  1. Jun 1, 2019 · The FAMM flap is indicated in reconstruction of small-to-moderate size head and neck defects. The most common indications in the literature are defects of the floor of mouth, palate, and alveolar ridge. 2 The type of flap used depends on the defect location.

    • Tareck Ayad
    • 2019
  2. Dec 15, 2019 · The FAMM flap is an axial flap containing the facial artery with its accompanying venous plexus, with a small amount of surrounding buccal fat, buccinator muscle, submucosa, and mucosa. It can be thought of as an intraoral and mirrorimage version of an axial nasolabial flap.

  3. Nov 22, 2011 · The FAMM flap is presently our preferred method of reconstruction for small to medium-sized FOM defects. It provides an elastic cushion for prosthetic apparatus, remains malleable, and does not shrink postoperatively. 6 Also, its reliability, ease of harvest, proximity to the defect and similar mucosal lining, absence of external scar, and low ...

    • Maxime Duranceau, Tareck Ayad
    • 2011
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  5. Aug 25, 2015 · The FAMM flap is composed of the buccinator muscle and the buccal mucosa vascularized by the facial artery. It can be superiorly based or inferiorly pedicled according to the defect site. In addition, this flap could be applied in the reconstruction of oral cavity, skull base defects and nasal septum [12] .

    • Amin Rahpeyma, Saeedeh Khajehahmadi
    • 10.1016/j.amsu.2015.08.008
    • 2015
    • Ann Med Surg (Lond). 2015 Dec; 4(4): 351-354.
  6. Surgical anatomy of the FAMM flap The FAMM flap is an intraoral cheek flap and includes the buccal mucosa, the submucosa, the buccinator mus- cle, and the superficial layer of the orbicularis oris mus- cle in the area of the oral commissure (Figures 1 and 2). Inferiorly based FAMM flaps are pedicled on the facial artery with an antegrade flow.

  7. FAMM flap refers to an axial composite flap based on the facial artery in the buccal area [ 3 ]. The primary goal as per the first description by Pribaz et al. was to rebuild the lip and vermillion by using a flap that was superiorly based on retrograde flow from the facial artery [ 3 ].

  8. Sep 2, 2020 · This flap has been designated the facial artery musculomucosal (FAMM) flap. The flap has proven to be reliable either superiorly based (retrograde flow) or inferiorly based (antegrade flow). It is versatile and has been used 18 times in 15 patients, with one failure and two partial losses.

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