{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:53:52Z","timestamp":1787064832581,"version":"build-2736575974"},"reference-count":8,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T00:00:00Z","timestamp":1519603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the surgical and functional outcomes between two harvesting techniques for the inferiorly based facial artery musculomucosal (FAMM) flap for oral cavity and oropharynx reconstructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Multicenter retrospective chart review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We reviewed 55 cases of FAMM flap, including 29 traditional cases and 26 performed using the modified harvesting method. The overall rate of surgical re\u2010intervention in the traditional group was 31% (n\u2009=\u20099 of 29) and 15% (n\u2009=\u20094 of 26) in the modified group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.196). The specific re\u2010intervention rate for pedicle sectioning was 27% (n\u2009=\u20098 of 29) in the traditional group versus 0% (n\u2009=\u20090 of 26) in the modified group. The overall rate of complications was 21%. Nine out of 10 dentate patients in the traditional group and four out of five in the modified group needed tooth extraction. There was no difference between the two groups in terms of tracheostomy duration (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.338) and time to first oral intake (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.629). Speech and feeding outcomes were similar among groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.922;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.700, respectively). Dental rehabilitation was achieved in 67% and 78% of patients in the traditional and modified groups, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The FAMM flap offers a low morbidity approach to reconstruct the oral cavity. The modified approach to harvesting the flap is a safe and effective technique, with similar functional results and equally low morbidity profile as the traditional technique. It has the added advantage of lower rates of secondary surgical interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4.\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 1802\u20131805, 2018\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.27150","type":"journal-article","created":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T15:00:20Z","timestamp":1519657220000},"page":"1802-1805","source":"Crossref","is-referenced-by-count":8,"title":["Decreasing Revision Surgery in\n                    <scp>FAMM<\/scp>\n                    Flap Reconstruction of the Oral Cavity: Traditional Versus Modified Harvesting Technique"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6113-035X","authenticated-orcid":false,"given":"Badr","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al Montreal Quebec Canada"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, H\u00f4pital Maisonneuve\u2010Rosemont Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akram","family":"Rahal","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, H\u00f4pital Maisonneuve\u2010Rosemont Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Bissada","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apostolos","family":"Christopoulos","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6835-2155","authenticated-orcid":false,"given":"Sami P.","family":"Moubayed","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, H\u00f4pital Maisonneuve\u2010Rosemont Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Guertin","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Claude","family":"Tabet","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie\u2010Jo","family":"Olivier","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al Montreal Quebec Canada"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, H\u00f4pital Maisonneuve\u2010Rosemont Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tareck","family":"Ayad","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al Montreal Quebec Canada"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Universit\u00e9 de Montr\u00e9al, H\u00f4pital Maisonneuve\u2010Rosemont Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23734"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199209000-00009"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2008.07.020"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22343"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2012.03.030"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anplas.2008.04.001"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19900801)66:3<564::AID-CNCR2820660326>3.0.CO;2-D"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.22933"}],"container-title":["The 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