Patient Satisfaction After Using a Reverse Flow Based Facial Artery Musculomucosal Flap (FAMM) versus a Palatal Pedicled Flap for Closure of Recurrent Small and Medium-Sized Oronasal Fistula: A Randomized Clinical Trial

Document Type : Original Article

Authors

1 Master candidate in Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University

2 Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt.

3 Associate Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry. Cairo University

4 D.D.S., M.S., M.S., PH.D., oral and maxillofacial surgery, faculty of dentistry, Cairo University, Cairo, Egypt

Abstract

Objectives: To evaluate the clinical success and patient satisfaction of FAMM for closure of recurrent small to medium oronasal fistula in comparison to the palatal pedicle flap.
Patients and Methods: 24 patients with recurrent small and medium-sized oronasal fistula failed after several trials to close, up to 10 mm were recruited. Patients were equally divided into two groups; G1: had surgical closure using FAMM flap and G2: had a Palatal Pedicle flap. Success is determined by the degree of patient satisfaction and healing, as well as the lack of complications.
Results: Clinical results showed that in the 2nd and 4th week, the percentage of healed fistula was 100% in the FAMM group and 75% in the palatal flap group while inn the 2nd and 3rd month, the percentage of patients with healed fistula was 100% in FAMM and 75% in the palatal flap groups. Regarding mouth opening results showed that in the 2nd and 4th week, the percentage of patients with normal oral competency was 91.7% in the FAMM group, compared to 75% in the palatal flap group while at the 2nd and 3rd month the percentage of patients with normal oral competency was 100% in the FAMM group compared to 75% in the palatal flap group with no statistically significant differences.
Conclusion: The FAMM flap and palatal pedicle flap are effective choices for reconstructing small to medium-sized recurrent ONF due to their reliability and versatility. Both flaps yield satisfactory functional outcomes. Truly, FAMM flap is preferred over palatal flap.

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Egyptian Dental Journal
Volume 70, Issue 1 - Serial Number 2
January (Oral Surgery)
January 2024
Pages 65-74

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