{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:46:23Z","timestamp":1792025183711,"version":"4.4.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The radial forearm free flap (RFFF) is the most commonly used flap for defects of the oral cavity. The facial artery musculomucosal (FAMM) is a safe and effective method to reconstruct medium sized defects of the oral cavity. No comparison exists between the FAMM flap and RFFF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>1) Retrospective chart review from 2007 to 2016. 2) Cost difference analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirteen FAMM flap cases and 18 RFFF met inclusion criteria. The FAMM flap showed a tendency to lower rates of return to the operating room ( p\u2009=\u20090.065) as well as lower rates of complications not requiring return to the OR with 1 complication in 1 patient as opposed to 10 patients with 15 complications ( p\u2009=\u20090.008). Also, FAMM flap had shorter operative times compared to the RFFF group (7.2HR and 8.9 HR respectively, p\u2009=\u20090.002). The average operative room related costs for a FAMM flap were 6510 CAD vs 10,703 CAD for RFFF ( p\u2009&lt;\u20090.0005). Speech and swallowing outcomes were similar ( p\u00a0&gt;\u00a00.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The FAMM flap can be used for reconstruction of medium-size defects of the oral cavity with functional outcomes similar to the RFFF while decreasing the associated costs and morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical Abstract<\/jats:title>\n                    <jats:p\/>\n                  <\/jats:sec>","DOI":"10.1186\/s40463-021-00523-z","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T14:02:42Z","timestamp":1638540162000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Reconstruction of medium-size defects of the oral cavity: Radial forearm free flap vs facial artery musculo-mucosal flap"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6113-035X","authenticated-orcid":false,"given":"Badr","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Division of Otolaryngology-Head & neck Surgery, Universit\u00e9 de Montr\u00e9al, H\u00f4pital Sacr\u00e9 Coeur de Montr\u00e9al, Montreal, Canada"},{"name":"Division of Otolaryngology-Head and Neck Surgery, Universit\u00e9 de Montr\u00e9al, H\u00f4pital Maisonneuve-Rosemont, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akram","family":"Rahal","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology-Head and Neck Surgery, Universit\u00e9 de Montr\u00e9al, H\u00f4pital Maisonneuve-Rosemont, Montreal, Canada"},{"name":"Division of Otolaryngology-Head and Neck Surgery, Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al, 1000 Saint-Denis St, H2X 0C1, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Bissada","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology-Head and Neck Surgery, Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al, 1000 Saint-Denis St, H2X 0C1, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apostolos","family":"Christopoulos","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology-Head and Neck Surgery, Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al, 1000 Saint-Denis St, H2X 0C1, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Guertin","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology-Head and Neck Surgery, Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al, 1000 Saint-Denis St, H2X 0C1, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tareck","family":"Ayad","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology-Head and Neck Surgery, Universit\u00e9 de Montr\u00e9al, H\u00f4pital Maisonneuve-Rosemont, Montreal, Canada"},{"name":"Division of Otolaryngology-Head and Neck Surgery, Universit\u00e9 de Montr\u00e9al, Centre Hospitalier de l'Universit\u00e9 de Montr\u00e9al, 1000 Saint-Denis St, H2X 0C1, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,1,1]]},"reference":[{"key":"bibr1-s40463-021-00523-z","unstructured":"Urken ML, Blackwell KE, Cheney ML, Harris JR, Hadlock TA. 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