Facial Artery Myomucosal Flap vs. Islanded Facial Artery Myomucosal Flap Viability: A Systematic Review

The aim of this study was to estimate the overall viability islanded facial artery myomucosal flap (iFAMM) compared (FAMM). A systematic review English articles performed on PubMed and Cochrane Library electronic databases. Search terms included every nomenclature variant for FAMM iFAMM flap. total 373 were identified, 20 considered eligible inclusion in review. 486 flaps evaluated (350 136 i-FAMM flaps). In all studies, primary outcome assessed viability, collecting rate partial necrosis then comparing i-FAMM. Overall reported partial/total 9.7%, 1.4% as 8.3% necrosis. 2.2%, 1.5% 0.7% flaps, both classical or variants, are an effective option intraoral small/medium sized defect reconstruction. Outcomes from present show a higher survival when is harvested