Facial artery musculomucosal flapを用いた赤唇再建の1例

  • 岩井 俊憲
    横浜市立大学大学院医学研究科顎顔面口腔機能制御学
  • 松井 義郎
    横浜市立大学大学院医学研究科顎顔面口腔機能制御学
  • 前川 二郎
    横浜市立大学附属病院形成外科
  • 安村 和則
    横浜市立大学附属病院形成外科
  • 青木 伸二郎
    横浜市立大学大学院医学研究科顎顔面口腔機能制御学
  • 藤内 祝
    横浜市立大学大学院医学研究科顎顔面口腔機能制御学

書誌事項

タイトル別名
  • A case of vermilion reconstruction using a facial artery musculomucosal flap
  • ショウレイ ホウコク Facial artery musculomucosal flap オ モチイタ セキシン サイケン ノ 1レイ

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抄録

Facial artery musculomucosal (FAMM) flaps are musculomucosal flaps based on the facial artery. These flaps consist of mucosa, submucosa, a small amount of buccinator muscle, the deeper plane of the orbicularis oris muscle, the facial artery, and the venous plexus. We describe the use of a FAMM flap for the repair of a vermilion defect after resection of a lower lip carcinoma.<BR>A 62-year-old man with an ulcer and mass of the lower lip was referred to our hospital. The pathological diagnosis was squamous cell carcinoma. He underwent tumor resection and vermilion reconstruction using an FAMM flap. We identified the facial artery by Doppler ultrasound. The FAMM flap was designed superiorly to Stensen's duct. The flap was elevated and rotated inferiorly. Then, the defect of the vermilion was covered. The donor site was closed primarily. Although the tip of the FAMM flap underwent partial necrosis postoperatively, the flap survived after conservative treatment.<BR>An FAMM flap is useful for repairing defects in the vermilion, although only a flap of limited size can be harvested.

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