Application and Complications of the Tunnelized Facial Artery Musculomucosal Flap in Repairing Floor of Mouth Defects.

IF 1.9 Q3 SURGERY

Plastic and Reconstructive Surgery Global Open Pub Date : 2026-10-14 eCollection Date: 2026-10-01 DOI:10.1097/GOX.0000000000008169

Qianying Kong, Zixia Wang, Xinbiao Zhu, Tong Li, Lifen Wu, Lizhong Liang

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引用次数: 0

Abstract

Background: This study evaluates the efficacy and complications of the tunnelized facial artery musculomucosal (tFAMM) flap for repairing floor of mouth defects, comparing it with the nasolabial island (NLI) flap.

Methods: A retrospective analysis was conducted on 12 patients who underwent tFAMM flap reconstruction at the Fifth Affiliated Hospital of Sun Yat-sen University from 2018 to 2024. Data from 8 patients receiving NLI flap reconstruction served as a control group. Outcomes included surgical parameters and complications, and we analyzed UW-QOL scores at 1 month postoperatively.

Results: The mean age of patients in the tFAMM group was 48.50 ± 11.82 years. All tFAMM flaps survived without revision surgery. The tFAMM group demonstrated significantly earlier nasogastric tube removal (8 versus 13 d, P = 0.001). After adjusting for age, the tFAMM group demonstrated significantly higher total UW-QOL scores (P = 0.044), global quality of life (P = 0.032), and physical function (P = 0.015) compared with the NLI group. Complications included temporary marginal mandibular branch palsy (3 cases) and trismus (2 cases).

Conclusions: The tFAMM flap effectively repairs floor of mouth defects with a low complication rate and provides superior early quality of life after age adjustment.

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隧道式面动脉肌粘膜瓣修复口底缺损的应用及并发症。

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来源期刊

Plastic and Reconstructive Surgery Global Open SURGERY-

CiteScore

2.20

自引率

13.30%

发文量

1584

审稿时长

10 weeks

期刊介绍： Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.