Facial artery musculomucosal (FAMM) flap

This study presents a thorough overview of the relevant anatomy of this flap, reviews its most common indications, and introduces a step-by-step approach to a successful harvest of the FAMM flap. Knowledge of the surgical anatomy and landmarks of the FAMM flap allows a successful harvest. The superiorly and inferiorly based FAMM flaps are versatile and associated with low morbidity. The indications are numerous in Head & Neck surgery. The most common indications are defects of the floor of mouth, palate, and alveolar ridge. The advantages of this pedicled intraoral flap considerably outweigh its disadvantages. Respect of the steps described herein should allow a successful harvest of the FAMM flap despite potential pitfalls. Refinement of the indications and recent modifications in the technique to lower the revision surgery rates should allow a broader use of this flap.

Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 18, 2019 Category: ENT & OMF Source Type: research