Open AccessIsland NLF or Island FAMM Flap in Reconstruction of Oral Malignancy Defects?
Author(s) -
Deepak Janardhan,
Ciju K George,
Shaji Thomas,
Elizabeth Mathew Iype,
Bipin T. Varghese,
Nebu Abraham George,
Shirish Patil,
Sandeep Sureh
Publication year - 2020
Publication title -
indian journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 16
eISSN - 0976-6952
pISSN - 0975-7651
DOI - 10.1007/s13193-019-01016-2
Subject(s) - medicine , surgery , malignancy , pathology
Free tissue transfer is the reconstructive option of choice in oral defects of onco-resections. Local flaps like nasolabial flap and FAMM flaps need to be in the armamentarium of surgeons to use when need arises. The aim of this study is to assess utility of island FAMM or nasolabial flap in oral reconstruction, in an oncological setting. Patients with oral cancers, irrespective of nodal status, were included in the study. A total of 33 patients were enrolled from Jan 2018 to Feb 2019, of which 2 were discarded intra-operatively. Fifteen had NLF and 16 had FAMM flap reconstruction. Partial flap loss was noted in 2 patients that healed with granulation, secondarily. Island FAMM and island nasolabial flaps are equally good reconstructive options even in an oncological setup, if factors like addictions, socialising capacity of patient and presence of submucosal fibrosis can be ascertained.