{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T21:40:28Z","timestamp":1789422028505,"version":"build-2803163510"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T00:00:00Z","timestamp":1603411200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Partial pharyngeal defect reconstruction after total laryngectomy with regional and free fasciocutaneous flaps has been described. However, mucosal flaps for such defects have not been reported.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An islanded facial artery musculo\u2010mucosal (FAMM) flap was used to reconstruct a partial pharyngeal defect after total laryngectomy. Surgical, swallowing, and speech outcomes were analyzed at 6\u2009months postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 6\u2009months, videofluoroscopy showed no post swallow residue, fistula, trachea\u2010esophageal puncture leak, or stricture. Perceptual analysis of recorded cold speech, native language passage sample, and the intelligibility analysis was good. The patient had normal mouth opening and marginal mandibular nerve function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Islanded FAMM flap is ideal for partial pharyngeal defects, which cannot be closed primarily. Speech and swallowing outcomes were good. It provided a robust and predictable blood supply and adequate reach. There was no significant donor site morbidity. The musculo\u2010mucosal flap replaced \u201clike\u2010with\u2010like\u201d tissue.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26522","type":"journal-article","created":{"date-parts":[[2020,10,24]],"date-time":"2020-10-24T05:52:27Z","timestamp":1603518747000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Islanded facial artery musculo\u2010mucosal flap for partial pharyngeal defect reconstruction after total laryngectomy: Case report"],"prefix":"10.1002","volume":"43","author":[{"given":"Nisha Rajrattansingh","family":"Akali","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery and Oncology Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham  Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arya Chandrababu","family":"Jaya","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery and Oncology Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham  Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Balasubramanian","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery and Oncology Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham  Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subramania","family":"Iyer","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery and Oncology Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham  Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5999-0422","authenticated-orcid":false,"given":"Krishnakumar","family":"Thankappan","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery and Oncology Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham  Kochi Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,23]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"44","article-title":"Reconstruction of the laryngopharynx","volume":"40","author":"Patel DK","year":"2007","journal-title":"Indian J Plastic Surg"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijps.IJPS_79_17"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(85)80060-2"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199209000-00009"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23734"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2016.11.010"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25089"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-200207000-00002"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canrad.2005.07.011"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2003.11351"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000162"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25508"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.3126\/njenthns.v2i2.6794"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-509X.64707"}],"container-title":["Head &amp; 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