Facial artery musculomucosal flap for reconstruction of skull base defects: A cadaveric study
Identifieur interne : 006D44 ( Istex/Corpus ); précédent : 006D43; suivant : 006D45Facial artery musculomucosal flap for reconstruction of skull base defects: A cadaveric study
Auteurs : Liyue Xie ; François Lavigne ; Akram Rahal ; Sami Pierre Moubayed ; Tareck AyadSource :
- The Laryngoscope [ 0023-852X ] ; 2013-08.
English descriptors
- KwdEn :
- August, Cadaveric, Cadaveric study, Carrau, Color figure, Complete coverage, Defect, Distal famm, Donor site, Endocranial view, Endoscopic, Endoscopic skull base reconstruction, Endoscopic view, Ethmoid areas, Ethmoidalis, Extension length, Facial, Facial artery, Facial artery musculomucosal flap, Facial vein, Famm, Famm flap, Famm flaps, Fascia, Flap, Flaps, Fovea, Fovea ethmoidalis, Frontal sinus, Harvesting technique, Inferior border, Inlay layer, Laryngoscope, Mandibular, Mandibular periosteum, Marginal mandibular branch, Masseter, Masseter muscle, Masseteric fascia, Maxillary, Maxillary sinus, Middle turbinate, Musculomucosal, Nasal cavity, Nasoseptal, Nasoseptal flap, Online issue, Oral maxillofac surg, Pedicle, Pedicled, Periosteum, Periosteum extension, Planum sphenoidale, Plast, Plast reconstr surg, Plast surg, Sella, Sella turcica, Sinus, Skull, Skull base, Skull base defects, Skull base reconstruction, Superiorly, Surface area, Surg, Traditional famm flap, Turbinate, Turcica.
- Teeft :
- August, Cadaveric, Cadaveric study, Carrau, Color figure, Complete coverage, Defect, Distal famm, Donor site, Endocranial view, Endoscopic, Endoscopic skull base reconstruction, Endoscopic view, Ethmoid areas, Ethmoidalis, Extension length, Facial, Facial artery, Facial artery musculomucosal flap, Facial vein, Famm, Famm flap, Famm flaps, Fascia, Flap, Flaps, Fovea, Fovea ethmoidalis, Frontal sinus, Harvesting technique, Inferior border, Inlay layer, Laryngoscope, Mandibular, Mandibular periosteum, Marginal mandibular branch, Masseter, Masseter muscle, Masseteric fascia, Maxillary, Maxillary sinus, Middle turbinate, Musculomucosal, Nasal cavity, Nasoseptal, Nasoseptal flap, Online issue, Oral maxillofac surg, Pedicle, Pedicled, Periosteum, Periosteum extension, Planum sphenoidale, Plast, Plast reconstr surg, Plast surg, Sella, Sella turcica, Sinus, Skull, Skull base, Skull base defects, Skull base reconstruction, Superiorly, Surface area, Surg, Traditional famm flap, Turbinate, Turcica.
Abstract
Failure in skull base defects reconstruction following tumor resection can have serious consequences such as ascending meningitis and pneumocephaly. The nasoseptal flap showed a very low incidence of cerebrospinal fluid leak but is not always available. The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head and neck defects. Our objective is to show that the FAMM flap can be used as a new alternative in skull base reconstruction.
Url:
DOI: 10.1002/lary.23939
Links to Exploration step
ISTEX:DC6ADEB62F713161ED9E7A01478A37E1414246E4Le document en format XML
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of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Quebec, Montreal, Canada</mods:affiliation></affiliation></author><author><name sortKey="Lavigne, Francois" sort="Lavigne, Francois" uniqKey="Lavigne F" first="François" last="Lavigne">François Lavigne</name><affiliation><mods:affiliation>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Quebec, Montreal, Canada</mods:affiliation></affiliation></author><author><name sortKey="Rahal, Akram" sort="Rahal, Akram" uniqKey="Rahal A" first="Akram" last="Rahal">Akram Rahal</name><affiliation><mods:affiliation>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Maisonneuve–Rosemont, Quebec, Montreal, Canada</mods:affiliation></affiliation></author><author><name sortKey="Moubayed, Sami Pierre" sort="Moubayed, Sami Pierre" uniqKey="Moubayed S" first="Sami Pierre" last="Moubayed">Sami Pierre 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type="eISSN">1531-4995</idno><imprint><biblScope unit="vol">123</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1854">1854</biblScope><biblScope unit="page" to="1861">1861</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2013-08">2013-08</date></imprint><idno type="ISSN">0023-852X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0023-852X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>August</term><term>Cadaveric</term><term>Cadaveric study</term><term>Carrau</term><term>Color figure</term><term>Complete coverage</term><term>Defect</term><term>Distal famm</term><term>Donor site</term><term>Endocranial view</term><term>Endoscopic</term><term>Endoscopic skull base reconstruction</term><term>Endoscopic view</term><term>Ethmoid areas</term><term>Ethmoidalis</term><term>Extension length</term><term>Facial</term><term>Facial artery</term><term>Facial artery musculomucosal flap</term><term>Facial vein</term><term>Famm</term><term>Famm flap</term><term>Famm flaps</term><term>Fascia</term><term>Flap</term><term>Flaps</term><term>Fovea</term><term>Fovea ethmoidalis</term><term>Frontal sinus</term><term>Harvesting technique</term><term>Inferior border</term><term>Inlay layer</term><term>Laryngoscope</term><term>Mandibular</term><term>Mandibular periosteum</term><term>Marginal mandibular branch</term><term>Masseter</term><term>Masseter muscle</term><term>Masseteric fascia</term><term>Maxillary</term><term>Maxillary sinus</term><term>Middle turbinate</term><term>Musculomucosal</term><term>Nasal cavity</term><term>Nasoseptal</term><term>Nasoseptal flap</term><term>Online issue</term><term>Oral maxillofac surg</term><term>Pedicle</term><term>Pedicled</term><term>Periosteum</term><term>Periosteum extension</term><term>Planum sphenoidale</term><term>Plast</term><term>Plast reconstr surg</term><term>Plast surg</term><term>Sella</term><term>Sella turcica</term><term>Sinus</term><term>Skull</term><term>Skull base</term><term>Skull base defects</term><term>Skull base reconstruction</term><term>Superiorly</term><term>Surface area</term><term>Surg</term><term>Traditional famm flap</term><term>Turbinate</term><term>Turcica</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>August</term><term>Cadaveric</term><term>Cadaveric study</term><term>Carrau</term><term>Color figure</term><term>Complete coverage</term><term>Defect</term><term>Distal famm</term><term>Donor site</term><term>Endocranial view</term><term>Endoscopic</term><term>Endoscopic skull base reconstruction</term><term>Endoscopic view</term><term>Ethmoid areas</term><term>Ethmoidalis</term><term>Extension length</term><term>Facial</term><term>Facial artery</term><term>Facial artery musculomucosal flap</term><term>Facial vein</term><term>Famm</term><term>Famm flap</term><term>Famm flaps</term><term>Fascia</term><term>Flap</term><term>Flaps</term><term>Fovea</term><term>Fovea ethmoidalis</term><term>Frontal sinus</term><term>Harvesting technique</term><term>Inferior border</term><term>Inlay layer</term><term>Laryngoscope</term><term>Mandibular</term><term>Mandibular periosteum</term><term>Marginal mandibular branch</term><term>Masseter</term><term>Masseter muscle</term><term>Masseteric fascia</term><term>Maxillary</term><term>Maxillary sinus</term><term>Middle turbinate</term><term>Musculomucosal</term><term>Nasal cavity</term><term>Nasoseptal</term><term>Nasoseptal flap</term><term>Online issue</term><term>Oral maxillofac surg</term><term>Pedicle</term><term>Pedicled</term><term>Periosteum</term><term>Periosteum extension</term><term>Planum sphenoidale</term><term>Plast</term><term>Plast reconstr surg</term><term>Plast surg</term><term>Sella</term><term>Sella turcica</term><term>Sinus</term><term>Skull</term><term>Skull base</term><term>Skull base defects</term><term>Skull base reconstruction</term><term>Superiorly</term><term>Surface area</term><term>Surg</term><term>Traditional famm flap</term><term>Turbinate</term><term>Turcica</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Failure in skull base defects reconstruction following tumor resection can have serious consequences such as ascending meningitis and pneumocephaly. The nasoseptal flap showed a very low incidence of cerebrospinal fluid leak but is not always available. The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head and neck defects. Our objective is to show that the FAMM flap can be used as a new alternative in skull base reconstruction.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>flap</json:string><json:string>famm</json:string><json:string>famm flap</json:string><json:string>flaps</json:string><json:string>periosteum</json:string><json:string>facial artery</json:string><json:string>laryngoscope</json:string><json:string>skull base reconstruction</json:string><json:string>endoscopic</json:string><json:string>fascia</json:string><json:string>mandibular</json:string><json:string>skull base</json:string><json:string>turbinate</json:string><json:string>facial</json:string><json:string>masseter</json:string><json:string>surg</json:string><json:string>musculomucosal</json:string><json:string>cadaveric</json:string><json:string>mandibular periosteum</json:string><json:string>skull</json:string><json:string>maxillary</json:string><json:string>superiorly</json:string><json:string>nasoseptal</json:string><json:string>plast</json:string><json:string>traditional famm flap</json:string><json:string>pedicle</json:string><json:string>august</json:string><json:string>pedicled</json:string><json:string>turcica</json:string><json:string>carrau</json:string><json:string>sella</json:string><json:string>nasoseptal flap</json:string><json:string>famm flaps</json:string><json:string>fovea</json:string><json:string>ethmoidalis</json:string><json:string>facial vein</json:string><json:string>nasal cavity</json:string><json:string>defect</json:string><json:string>donor site</json:string><json:string>facial artery musculomucosal flap</json:string><json:string>masseteric fascia</json:string><json:string>skull base defects</json:string><json:string>surface area</json:string><json:string>sinus</json:string><json:string>endocranial view</json:string><json:string>online issue</json:string><json:string>sella turcica</json:string><json:string>planum sphenoidale</json:string><json:string>maxillary sinus</json:string><json:string>inferior border</json:string><json:string>color figure</json:string><json:string>complete coverage</json:string><json:string>endoscopic view</json:string><json:string>distal famm</json:string><json:string>middle turbinate</json:string><json:string>masseter muscle</json:string><json:string>plast reconstr surg</json:string><json:string>extension length</json:string><json:string>endoscopic skull base reconstruction</json:string><json:string>marginal mandibular branch</json:string><json:string>periosteum extension</json:string><json:string>frontal sinus</json:string><json:string>ethmoid areas</json:string><json:string>inlay layer</json:string><json:string>fovea ethmoidalis</json:string><json:string>cadaveric study</json:string><json:string>plast surg</json:string><json:string>oral maxillofac surg</json:string><json:string>harvesting technique</json:string></teeft></keywords><author><json:item><name>Liyue Xie MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Quebec, Montreal, Canada</json:string></affiliations></json:item><json:item><name>François Lavigne MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Quebec, Montreal, Canada</json:string></affiliations></json:item><json:item><name>Akram Rahal MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Maisonneuve–Rosemont, Quebec, Montreal, Canada</json:string></affiliations></json:item><json:item><name>Sami Pierre Moubayed MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Quebec, Montreal, Canada</json:string></affiliations></json:item><json:item><name>Tareck Ayad MD</name><affiliations><json:string>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Montreal, Quebec, Canada</json:string><json:string>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Maisonneuve–Rosemont, Quebec, Montreal, Canada</json:string><json:string>E-mail: tareck.ayad@umontreal.ca</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Skull base reconstruction</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>FAMM flap</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>musculomucosal flap</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>facial artery</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>cerebrospinal fluid leak</value></json:item></subject><articleId><json:string>LARY23939</json:string></articleId><arkIstex>ark:/67375/WNG-C73FNHQH-4</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Failure in skull base defects reconstruction following tumor resection can have serious consequences such as ascending meningitis and pneumocephaly. The nasoseptal flap showed a very low incidence of cerebrospinal fluid leak but is not always available. The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head and neck defects. Our objective is to show that the FAMM flap can be used as a new alternative in skull base reconstruction.</abstract><qualityIndicators><score>7.233</score><pdfWordCount>4333</pdfWordCount><pdfCharCount>26802</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>8</pdfPageCount><pdfPageSize>602.986 x 800.957 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>75</abstractWordCount><abstractCharCount>497</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>Facial artery musculomucosal flap for reconstruction of skull base defects: A cadaveric study</title><pmid><json:string>23666761</json:string></pmid><genre><json:string>article</json:string></genre><host><title>The Laryngoscope</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1531-4995</json:string></doi><issn><json:string>0023-852X</json:string></issn><eissn><json:string>1531-4995</json:string></eissn><publisherId><json:string>LARY</json:string></publisherId><volume>123</volume><issue>8</issue><pages><first>1854</first><last>1861</last><total>8</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Facial Plastics and Reconstructive Surgery</value></json:item></subject></host><namedEntities><unitex><date><json:string>August 2013 1854</json:string><json:string>2006</json:string><json:string>August 2013 1856</json:string><json:string>2013</json:string><json:string>2012-12-13</json:string><json:string>August 2013 1858</json:string></date><geogName></geogName><orgName><json:string>Canada Editor</json:string><json:string>American Head and Neck</json:string><json:string>Research Ethics Committee</json:string><json:string>Department of Otolaryngology–Head and Neck</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Ann Plast</json:string><json:string>Akram Rahal</json:string><json:string>N. Endoscopic</json:string><json:string>Pierre Moubayed</json:string><json:string>A. Laryngoscope</json:string><json:string>S. Use</json:string><json:string>Roula Drossis</json:string><json:string>Tareck Ayad</json:string><json:string>S. Reconstruction</json:string><json:string>I. Measurements</json:string><json:string>K. Reconstruction</json:string><json:string>Gilles Bronchti</json:string><json:string>Ann Chir</json:string></persName><placeName><json:string>Ricbourg</json:string><json:string>Montreal</json:string><json:string>Sherbrooke</json:string><json:string>Canada</json:string><json:string>Toronto</json:string><json:string>Quebec</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Xie et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-C73FNHQH-4</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - otorhinolaryngology</json:string><json:string>2 - medicine, research & experimental</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - otorhinolaryngology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Otorhinolaryngology</json:string></scopus></categories><publicationDate>2013</publicationDate><copyrightDate>2013</copyrightDate><doi><json:string>10.1002/lary.23939</json:string></doi><id>DC6ADEB62F713161ED9E7A01478A37E1414246E4</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/DC6ADEB62F713161ED9E7A01478A37E1414246E4/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/DC6ADEB62F713161ED9E7A01478A37E1414246E4/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/DC6ADEB62F713161ED9E7A01478A37E1414246E4/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Facial artery musculomucosal flap for reconstruction of skull base defects: A cadaveric study</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Publishing Ltd</publisher><availability><licence>© 2013 The American Laryngological, Rhinological and Otological Society, Inc.</licence></availability><date type="published" when="2013-08"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Facial artery musculomucosal flap for reconstruction of skull base defects: A cadaveric study</title><title level="a" type="short">FAMM Flap for Skull Base Reconstruction</title><author xml:id="author-0000"><persName><forename type="first">Liyue</forename><surname>Xie</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Université de Montréal, Hôpital Notre–Dame</orgName><address><settlement type="city">Montreal</settlement><region>Quebec</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">François</forename><surname>Lavigne</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Université de Montréal, Hôpital Notre–Dame</orgName><address><settlement type="city">Montreal</settlement><region>Quebec</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Akram</forename><surname>Rahal</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Université de Montréal, Hôpital Maisonneuve–Rosemont</orgName><address><settlement type="city">Montreal</settlement><region>Quebec</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Sami Pierre</forename><surname>Moubayed</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Université de Montréal, Hôpital Notre–Dame</orgName><address><settlement type="city">Montreal</settlement><region>Quebec</region><country key="CA">Canada</country></address></affiliation></author><author xml:id="author-0004" role="corresp"><persName><forename type="first">Tareck</forename><surname>Ayad</surname><roleName type="degree">MD</roleName></persName><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Université de Montréal, Hôpital Notre–Dame</orgName><address><settlement type="city">Montreal</settlement><region>Quebec</region><country key="CA">Canada</country></address></affiliation><affiliation><orgName>Department of Otolaryngology–Head and Neck Surgery</orgName><orgName>Université de Montréal, Hôpital Maisonneuve–Rosemont</orgName><address><settlement type="city">Montreal</settlement><region>Quebec</region><country key="CA">Canada</country></address></affiliation><affiliation>Send correspondence to Tareck Ayad, MD, FRCSC, Hôpital Notre–Dame, 1560 Sherbrooke Street East, Montreal, Quebec, Canada, H2L 4M1. E‐mail: tareck.ayad@umontreal.ca</affiliation></author><idno type="istex">DC6ADEB62F713161ED9E7A01478A37E1414246E4</idno><idno type="ark">ark:/67375/WNG-C73FNHQH-4</idno><idno type="DOI">10.1002/lary.23939</idno><idno type="unit">LARY23939</idno><idno type="toTypesetVersion">file:LARY.LARY23939.pdf</idno></analytic><monogr><title level="j" type="main">The Laryngoscope</title><title level="j" type="alt">THE LARYNGOSCOPE</title><idno type="pISSN">0023-852X</idno><idno type="eISSN">1531-4995</idno><idno type="book-DOI">10.1002/(ISSN)1531-4995</idno><idno type="book-part-DOI">10.1002/lary.v123.8</idno><idno type="product">LARY</idno><imprint><biblScope unit="vol">123</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1854">1854</biblScope><biblScope unit="page" to="1861">1861</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2013-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main">
Objectives/Hypothesis
<p>Failure in skull base defects reconstruction following tumor resection can have serious consequences such as ascending meningitis and pneumocephaly. The nasoseptal flap showed a very low incidence of cerebrospinal fluid leak but is not always available. The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head and neck defects. Our objective is to show that the FAMM flap can be used as a new alternative in skull base reconstruction.</p>
Study Design
<p>Cadaveric study. Feasibility.</p>
Methods
<p>Thirteen specimens underwent bilateral FAMM flap dissection. Two new modifications of the traditional FAMM flap have been developed. Feasibility in FAMM flap transfer to the skull base was investigated through endoscopic skull base dissection and maxillectomy in four specimens. Measurements were recorded for each harvested flap.</p>
Results
<p>The mean surface area of the modified FAMM flap efficient for reconstruction was 15.90 cm<hi rend="superscript">2</hi>. The flaps easily covered the simulated defects of the frontal sinus and the fovea ethmoidalis areas. Modifications of the traditional FAMM flap were necessary for a tension‐free coverage of the planum sphenoidale and sella turcica.</p>
Conclusion
<p>The FAMM flap holds high potential as a new alternative vascular flap in skull base reconstruction. However, it has not been used in patients yet and should be considered only when other options are not available. New modifications developed in this article can elongate the traditional FAMM flap, potentially contributing to a tighter seal of the skull base defect than FAMM flap alone.</p>
Level of Evidence
<p>N/A. Laryngoscope, 123:1854–1861, 2013</p></abstract><textClass><keywords><term xml:id="lary23939-kwd-0001">Skull base reconstruction</term><term xml:id="lary23939-kwd-0002">FAMM flap</term><term xml:id="lary23939-kwd-0003">musculomucosal flap</term><term xml:id="lary23939-kwd-0004">facial artery</term><term xml:id="lary23939-kwd-0005">cerebrospinal fluid leak</term></keywords><keywords rend="articleCategory"><term>Facial Plastics and Reconstructive Surgery</term></keywords><keywords rend="tocHeading1"><term>Facial Plastics and Reconstructive Surgery</term></keywords><keywords rend="tocHeading2"><term>Original Reports</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/DC6ADEB62F713161ED9E7A01478A37E1414246E4/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en" xml:id="lary23939"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1002/(ISSN)1531-4995</doi><issn type="print">0023-852X</issn><issn type="electronic">1531-4995</issn><idGroup><id type="product" value="LARY"></id></idGroup><titleGroup><title type="main" sort="THE LARYNGOSCOPE">The Laryngoscope</title><title type="short">The Laryngoscope</title></titleGroup></publicationMeta><publicationMeta level="part" position="80"><doi>10.1002/lary.v123.8</doi><copyright ownership="thirdParty">© 2013 The American Laryngological, Rhinological and Otological Society, Inc.</copyright><numberingGroup><numbering type="journalVolume" number="123">123</numbering><numbering type="journalIssue">8</numbering></numberingGroup><coverDate startDate="2013-08">August 2013</coverDate></publicationMeta><publicationMeta level="unit" position="90" type="article" status="forIssue"><doi>10.1002/lary.23939</doi><idGroup><id type="unit" value="LARY23939"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><titleGroup><title type="articleCategory">Facial Plastics and Reconstructive Surgery</title><title type="tocHeading1">Facial Plastics and Reconstructive Surgery</title><title type="tocHeading2">Original Reports</title></titleGroup><copyright ownership="thirdParty">© 2013 The American Laryngological, Rhinological and Otological Society, Inc.</copyright><eventGroup><event type="manuscriptReceived" date="2012-08-10"></event><event type="manuscriptRevised" date="2012-09-30"></event><event type="manuscriptAccepted" date="2012-11-12"></event><event type="xmlCreated" agent="Cenveo Publisher Services" date="2012-12-13"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-05-10"></event><event type="firstOnline" date="2013-05-10"></event><event type="publishedOnlineFinalForm" date="2013-07-19"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-01"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-02"></event></eventGroup><numberingGroup><numbering type="pageFirst">1854</numbering><numbering type="pageLast">1861</numbering></numberingGroup><correspondenceTo>Send correspondence to Tareck Ayad, MD, FRCSC, Hôpital Notre–Dame, 1560 Sherbrooke Street East, Montreal, Quebec, Canada, H2L 4M1. E‐mail: <email>tareck.ayad@umontreal.ca</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:LARY.LARY23939.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Facial artery musculomucosal flap for reconstruction of skull base defects: A cadaveric study</title><title type="short">FAMM Flap for Skull Base Reconstruction</title><title type="shortAuthors">Xie et al.</title></titleGroup><creators><creator affiliationRef="#lary23939-aff-0001" creatorRole="author" xml:id="lary23939-cr-0001"><personName><givenNames>Liyue</givenNames><familyName>Xie</familyName><degrees>MD</degrees></personName></creator><creator affiliationRef="#lary23939-aff-0001" creatorRole="author" xml:id="lary23939-cr-0002"><personName><givenNames>François</givenNames><familyName>Lavigne</familyName><degrees>MD</degrees></personName></creator><creator affiliationRef="#lary23939-aff-0002" creatorRole="author" xml:id="lary23939-cr-0003"><personName><givenNames>Akram</givenNames><familyName>Rahal</familyName><degrees>MD</degrees></personName></creator><creator affiliationRef="#lary23939-aff-0001" creatorRole="author" xml:id="lary23939-cr-0004"><personName><givenNames>Sami Pierre</givenNames><familyName>Moubayed</familyName><degrees>MD</degrees></personName></creator><creator affiliationRef="#lary23939-aff-0001 #lary23939-aff-0002" corresponding="yes" creatorRole="author" xml:id="lary23939-cr-0005"><personName><givenNames>Tareck</givenNames><familyName>Ayad</familyName><degrees>MD</degrees></personName></creator></creators><affiliationGroup><affiliation countryCode="CA" type="organization" xml:id="lary23939-aff-0001"><orgDiv>Department of Otolaryngology–Head and Neck Surgery</orgDiv><orgName>Université de Montréal, Hôpital Notre–Dame</orgName><address><city>Montreal</city><countryPart>Quebec</countryPart><country>Canada</country></address></affiliation><affiliation countryCode="CA" type="organization" xml:id="lary23939-aff-0002"><orgDiv>Department of Otolaryngology–Head and Neck Surgery</orgDiv><orgName>Université de Montréal, Hôpital Maisonneuve–Rosemont</orgName><address><city>Montreal</city><countryPart>Quebec</countryPart><country>Canada</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="lary23939-kwd-0001">Skull base reconstruction</keyword><keyword xml:id="lary23939-kwd-0002">FAMM flap</keyword><keyword xml:id="lary23939-kwd-0003">musculomucosal flap</keyword><keyword xml:id="lary23939-kwd-0004">facial artery</keyword><keyword xml:id="lary23939-kwd-0005">cerebrospinal fluid leak</keyword></keywordGroup><abstractGroup><abstract type="main"><section xml:id="lary23939-sec-0001"><title type="main">Objectives/Hypothesis</title><p>Failure in skull base defects reconstruction following tumor resection can have serious consequences such as ascending meningitis and pneumocephaly. The nasoseptal flap showed a very low incidence of cerebrospinal fluid leak but is not always available. The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head and neck defects. Our objective is to show that the FAMM flap can be used as a new alternative in skull base reconstruction.</p></section><section xml:id="lary23939-sec-0002"><title type="main">Study Design</title><p>Cadaveric study. Feasibility.</p></section><section xml:id="lary23939-sec-0003"><title type="main">Methods</title><p>Thirteen specimens underwent bilateral FAMM flap dissection. Two new modifications of the traditional FAMM flap have been developed. Feasibility in FAMM flap transfer to the skull base was investigated through endoscopic skull base dissection and maxillectomy in four specimens. Measurements were recorded for each harvested flap.</p></section><section xml:id="lary23939-sec-0004"><title type="main">Results</title><p>The mean surface area of the modified FAMM flap efficient for reconstruction was 15.90 cm<sup>2</sup>. The flaps easily covered the simulated defects of the frontal sinus and the fovea ethmoidalis areas. Modifications of the traditional FAMM flap were necessary for a tension‐free coverage of the planum sphenoidale and sella turcica.</p></section><section xml:id="lary23939-sec-0005"><title type="main">Conclusion</title><p>The FAMM flap holds high potential as a new alternative vascular flap in skull base reconstruction. However, it has not been used in patients yet and should be considered only when other options are not available. New modifications developed in this article can elongate the traditional FAMM flap, potentially contributing to a tighter seal of the skull base defect than FAMM flap alone.</p></section><section xml:id="lary23939-sec-0006"><title type="main">Level of Evidence</title><p>N/A. Laryngoscope, 123:1854–1861, 2013</p></section></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="lary23939-note-0001"><p>Presented at the 8th International Conference on Head and Neck Cancer, American Head and Neck Society, Toronto, Ontario, Canada, July 21–25 2012.</p></note><note xml:id="lary23939-note-0002"><p>The authors have no funding, financial relationships, or conflicts of interest to disclose.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Facial artery musculomucosal flap for reconstruction of skull base defects: A cadaveric study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>FAMM Flap for Skull Base Reconstruction</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Facial artery musculomucosal flap for reconstruction of skull base defects: A cadaveric study</title></titleInfo><name type="personal"><namePart type="given">Liyue</namePart><namePart type="family">Xie</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Quebec, Montreal, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">François</namePart><namePart type="family">Lavigne</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Quebec, Montreal, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Akram</namePart><namePart type="family">Rahal</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Maisonneuve–Rosemont, Quebec, Montreal, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sami Pierre</namePart><namePart type="family">Moubayed</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Quebec, Montreal, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tareck</namePart><namePart type="family">Ayad</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Notre–Dame, Montreal, Quebec, Canada</affiliation><affiliation>Department of Otolaryngology–Head and Neck Surgery, Université de Montréal, Hôpital Maisonneuve–Rosemont, Quebec, Montreal, Canada</affiliation><affiliation>E-mail: tareck.ayad@umontreal.ca</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-08</dateIssued><dateCreated encoding="w3cdtf">2012-12-13</dateCreated><dateCaptured encoding="w3cdtf">2012-08-10</dateCaptured><dateValid encoding="w3cdtf">2012-11-12</dateValid><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Failure in skull base defects reconstruction following tumor resection can have serious consequences such as ascending meningitis and pneumocephaly. The nasoseptal flap showed a very low incidence of cerebrospinal fluid leak but is not always available. The superiorly pedicled facial artery musculomucosal (FAMM) flap has been successfully used for reconstruction of head and neck defects. Our objective is to show that the FAMM flap can be used as a new alternative in skull base reconstruction.</abstract><abstract>Cadaveric study. Feasibility.</abstract><abstract>Thirteen specimens underwent bilateral FAMM flap dissection. Two new modifications of the traditional FAMM flap have been developed. Feasibility in FAMM flap transfer to the skull base was investigated through endoscopic skull base dissection and maxillectomy in four specimens. Measurements were recorded for each harvested flap.</abstract><abstract>The mean surface area of the modified FAMM flap efficient for reconstruction was 15.90 cm2. The flaps easily covered the simulated defects of the frontal sinus and the fovea ethmoidalis areas. Modifications of the traditional FAMM flap were necessary for a tension‐free coverage of the planum sphenoidale and sella turcica.</abstract><abstract>The FAMM flap holds high potential as a new alternative vascular flap in skull base reconstruction. However, it has not been used in patients yet and should be considered only when other options are not available. New modifications developed in this article can elongate the traditional FAMM flap, potentially contributing to a tighter seal of the skull base defect than FAMM flap alone.</abstract><abstract>N/A. Laryngoscope, 123:1854–1861, 2013</abstract><subject><genre>keywords</genre><topic>Skull base reconstruction</topic><topic>FAMM flap</topic><topic>musculomucosal flap</topic><topic>facial artery</topic><topic>cerebrospinal fluid leak</topic></subject><relatedItem type="host"><titleInfo><title>The Laryngoscope</title></titleInfo><titleInfo type="abbreviated"><title>The Laryngoscope</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Facial Plastics and Reconstructive Surgery</topic></subject><identifier type="ISSN">0023-852X</identifier><identifier type="eISSN">1531-4995</identifier><identifier type="DOI">10.1002/(ISSN)1531-4995</identifier><identifier type="PublisherID">LARY</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>123</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>1854</start><end>1861</end><total>8</total></extent></part></relatedItem><identifier type="istex">DC6ADEB62F713161ED9E7A01478A37E1414246E4</identifier><identifier type="ark">ark:/67375/WNG-C73FNHQH-4</identifier><identifier type="DOI">10.1002/lary.23939</identifier><identifier type="ArticleID">LARY23939</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2013 The American Laryngological, Rhinological and Otological Society, Inc.© 2013 The American Laryngological, Rhinological and Otological Society, Inc.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/DC6ADEB62F713161ED9E7A01478A37E1414246E4/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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