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
Roomi, D., Askar, N., Khashaba, M., Shaheen, H. (2024). 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. EKB Journal Management System, 70(1), 65-74. doi: 10.21608/edj.2023.225504.2678
Duaa Gawad Roomi; Nevine A. Askar; Mohammed Khashaba; Hamed Shaheen. "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". EKB Journal Management System, 70, 1, 2024, 65-74. doi: 10.21608/edj.2023.225504.2678
Roomi, D., Askar, N., Khashaba, M., Shaheen, H. (2024). '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', EKB Journal Management System, 70(1), pp. 65-74. doi: 10.21608/edj.2023.225504.2678
Roomi, D., Askar, N., Khashaba, M., Shaheen, H. 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. EKB Journal Management System, 2024; 70(1): 65-74. doi: 10.21608/edj.2023.225504.2678

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

Egyptian Dental Journal
Volume 70, Issue 1 - Serial Number 2, January 2024, Page 65-74  XML PDF (1.38 MB)
Document Type: Original Article
DOI: 10.21608/edj.2023.225504.2678
View on SCiNiTO View on SCiNiTO
Authors
Duaa Gawad Roomi email orcid 1; Nevine A. Askarorcid 2; Mohammed Khashabaorcid 3; Hamed Shaheenorcid 4
1Master candidate in Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University
2Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt.
3Associate Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry. Cairo University
4D.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.
Keywords
Musculomucosal; Palatal; Flap; Oronasal; Fistula
Statistics
Article View: 70
PDF Download: 28