Comment on: Reconstruction using facial artery system-based flaps. One vascular system for multiple purposes in head and neck reconstructive surgery

Massarelli, Olindo; Vaira, Luigi Angelo; De Riu, Giacomo

doi:10.1016/j.otorri.2020.05.005

array:22 ["pii" => "S0001651920301497" "issn" => "00016519" "doi" => "10.1016/j.otorri.2020.05.005" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1032" "copyrightAnyo" => "2020" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Acta Otorrinolaringol Esp. 2021;72:135-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S0001651920301709" "issn" => "00016519" "doi" => "10.1016/j.otorri.2020.08.007" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "1048" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Acta Otorrinolaringol Esp. 2021;72:136" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Response to: Reconstruction using facial artery system-based flaps. One vascular system for multiple purposes in head and neck reconstructive surgery" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "136" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a: Reconstrucción mediante colgajos basados en el sistema de la arteria facial. Un sistema vascular para múltiples usos en cirugía reconstructiva de cabeza y cuello" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jose A. Gonzalez-Garcia, Carlos M. Chiesa-Estomba" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Jose A." "apellidos" => "Gonzalez-Garcia" ] 1 => array:2 [ "nombre" => "Carlos M." "apellidos" => "Chiesa-Estomba" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173573521000338" "doi" => "10.1016/j.otoeng.2020.08.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573521000338?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651920301709?idApp=UINPBA00004N" "url" => "/00016519/0000007200000002/v1_202103041126/S0001651920301709/v1_202103041126/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0001651920300686" "issn" => "00016519" "doi" => "10.1016/j.otorri.2020.02.002" "estado" => "S300" "fechaPublicacion" => "2021-03-01" "aid" => "995" "copyright" => "Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Acta Otorrinolaringol Esp. 2021;72:133-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Images in Otorhinolaryngology" "titulo" => "Follicular lymphoma presenting as an isolated concha cymba mass" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "133" "paginaFinal" => "134" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Linfoma folicular con presentación de masa aislada en la cymba de la concha" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 573 "Ancho" => 900 "Tamanyo" => 61042 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ângela Reis-Rego, João Almeida, João Lino" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Ângela" "apellidos" => "Reis-Rego" ] 1 => array:2 [ "nombre" => "João" "apellidos" => "Almeida" ] 2 => array:2 [ "nombre" => "João" "apellidos" => "Lino" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651920300686?idApp=UINPBA00004N" "url" => "/00016519/0000007200000002/v1_202103041126/S0001651920300686/v1_202103041126/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "Comment on: Reconstruction using facial artery system-based flaps. One vascular system for multiple purposes in head and neck reconstructive surgery" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "135" "paginaFinal" => "136" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Olindo Massarelli, Luigi Angelo Vaira, Giacomo De Riu" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Olindo" "apellidos" => "Massarelli" "email" => array:1 [ 0 => "olindo.massarelli@aousassari.it" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Luigi Angelo" "apellidos" => "Vaira" ] 2 => array:2 [ "nombre" => "Giacomo" "apellidos" => "De Riu" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "University Hospital of Sassari, Maxillofacial Surgery Unit, Sassari, Italy" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentario a: Reconstrucción mediante colgajos basados en el sistema de la arteria facial. Un sistema vascular para múltiples usos en cirugía reconstructiva de cabeza y cuello" ] ] "textoCompleto" => "We read with great interest the article by Gonzalez-Garcia et al.<a class="elsevierStyleCrossRef" href="#bib0045">1</a> recently published in your journal and in which two works of ours are cited.<a class="elsevierStyleCrossRefs" href="#bib0050">2,3</a>The Authors reported their experience in 8 consecutive oral cancer reconstructions and in 5 of which the buccinator myomucosal flaps have been utilized. All these flaps were solely pedicled on the facial artery, because the Authors stated that “given the great resistance of the buccal mucosa to venous congestion, it is not necessary to carry the facial vein with this type of flaps, so they will maintain their vitality by remaining pediculated exclusively with the facial artery”.Their experience consists of two FAMM flaps, one inverted-FAMM flap (that we named NAMMIF<a class="elsevierStyleCrossRef" href="#bib0050">2</a> because pedicled on nasal angular artery), one FAMMI (or FAMMIF<a class="elsevierStyleCrossRef" href="#bib0050">2</a>), one t-FAMM (or t-FAMMIF<a class="elsevierStyleCrossRefs" href="#bib0050">2,3</a>). The success rate of these flaps was hurt by some complications.The Authors describe the FAMMI as a facial artery myomucosal island flap based on the facial artery alone and they report it as the one proposed by Zhao et al.<a class="elsevierStyleCrossRef" href="#bib0055">4</a> We would like to emphasize that this refinement has not been described by Zhao, rather by Massarelli et al. in a 2012 paper and named “arterialized-FAMMIF (or “a-FAMMIF”).<a class="elsevierStyleCrossRef" href="#bib0060">5</a> This type of flap represents a modified standard FAMM harvesting technique in whom the mucosal pedicle was sectioned, enabling this flap to be rotated only on its artery, to extend flap's applications and avoid the further vestibuloplasty. This flap proved to be useful, but we recommend not to exceed in the flap size because in the absence of facial vein the small microscopic veins surrounding the artery might be insufficient to venous drainage. For larger reconstructions we suggest to harvest a bi-trilobed myomucosal flap shaped on the facial mucosasome encompassing the buccal adjacent one, always providing to raise the facial vein with the flap (FAMMIF).<a class="elsevierStyleCrossRefs" href="#bib0050">2,5</a>As bibliographic reference for the t-FAMMIF harvesting, the Authors cited our paper in which the harvesting flap's technique was clarified for the first time.<a class="elsevierStyleCrossRef" href="#bib0040">3</a> This type of flap has been described again in further pubblications.<a class="elsevierStyleCrossRefs" href="#bib0050">2,5</a>As clearly stated in papers, the t-FAMMIF is always pedicled both on the facial artery and vein. The flap is then “tunnelized through a short paramandibular tunnel following the course of the vessels to the neck up to the origin of the external carotid artery and the internal jugular vein” and then rerouted by another lingual tunnel through the intraoral soft tissues. By gaining a very long arc of pedicle rotation, this technical refinement allows to virtually reconstruct all areas of the oral cavity or the oropharynx, even those contralaterals.<a class="elsevierStyleCrossRefs" href="#bib0050">2,5</a> In a wide pedicle tunnelling dissection the slender venae comitantes periarterial network could be damaged, increasing flap loss risk. Therefore we strongly advise against raising the flap on the sole artery.Although the Authors cite Massarelli's classification,<a class="elsevierStyleCrossRef" href="#bib0050">2</a> some confusion is still present and our greatest concern is that an erroneous technical information regarding myomucosal island flap harvesting might adverse their acceptance and popularization.Financial disclosureNone declared.Conflict of interestsNone declared." "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial disclosure" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] 2 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reconstrucción mediante colgajos basados en el sistema de la arteria facial Un sistema vascular para múltiples usos en cirugía reconstructiva de cabeza y cuello" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.A. Gonzalez-Garcia" 1 => "C.M. Chiesa-Estomba" 2 => "I. Thomas-Arrizabalaga" 3 => "E. Larruscain" 4 => "J.A. Sistiaga" 5 => "L. Alvarez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.otorri.2019.10.002" "Revista" => array:2 [ "tituloSerie" => "Acta Otorrinolaringol Esp." "fecha" => "2020" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0050" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rational and simplified nomenclature for buccinators myomucosal flaps" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "O. Massarelli" 1 => "L.A. Vaira" 2 => "A. Biglio" 3 => "R. Gobbi" 4 => "P. Piombino" 5 => "G. De Riu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s10006-017-0655-9" "Revista" => array:6 [ "tituloSerie" => "Oral Maxillofac Surg." "fecha" => "2017" "volumen" => "21" "paginaInicial" => "453" "paginaFinal" => "459" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28936552" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Three-dimensional primary reconstruction of anterior mouth floor and ventral tongue using the “trilobed” buccinator myomucosal island flap" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "O. Massarelli" 1 => "R. Gobbi" 2 => "M.T. Raho" 3 => "A. Tullio" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ijom.2008.07.020" "Revista" => array:6 [ "tituloSerie" => "Int J Oral Maxillofac Surg" "fecha" => "2008" "volumen" => "37" "paginaInicial" => "917" "paginaFinal" => "922" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18835756" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0055" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "New buccinator myomucosal island flap: anatomic study and clinical application" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "Z. Zhao" 1 => "S. Li" 2 => "Y. Yan" 3 => "Y. Li" 4 => "M. Yang" 5 => "L. Mu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Plast Reconstr Surg." "fecha" => "1999" "volumen" => "104" "paginaInicial" => "55" "paginaFinal" => "64" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10597674" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0060" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cheek mucosa: a versatile donor site of myomucosal flaps. Technical and functional considerations" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "O. Massarelli" 1 => "A. Baj" 2 => "R. Gobbi" 3 => "D. Soma" 4 => "S. Marelli" 5 => "G. De Riu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/hed.22933" "Revista" => array:6 [ "tituloSerie" => "Head Neck." "fecha" => "2013" "volumen" => "35" "paginaInicial" => "109" "paginaFinal" => "117" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22290874" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00016519/0000007200000002/v1_202103041126/S0001651920301497/v1_202103041126/en/main.assets" "Apartado" => array:4 [ "identificador" => "89152" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Letters to Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00016519/0000007200000002/v1_202103041126/S0001651920301497/v1_202103041126/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001651920301497?idApp=UINPBA00004N"]

ISSN: 0001-6519

Acta Otorrinolaringológica Española, Órgano Oficial de la Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello, y de la Academia Iberoamericana de Otorrinolaringología, es la revista más importante en Español dedicada a la Otorrinolaringología. En ella se reflejan los continuos progresos científicos y técnicos de la especialidad, lo que la convierte en una importante herramienta para mantenerse actualizado. La revista publica colaboraciones originales (artículos de investigación básica e investigación clínica), artículos de revisión, comunicaciones breves, casos clínicos, e imágenes, los cuales son sometidos a un riguroso proceso de revisión por pares. Todos los artículos publicados están además disponibles en inglés.

Ver más Opción Open Access

Acta Otorrinolaringológica Española ha recibido Factor de Impacto (JCR) por primera vez en 2023. Guía para autores - Envío de manuscritos

Indexada en:

Web of Science, MedLine/PubMed, Scopus, Emerging Science Citation Index (ESCI/WoS), EMBASE/Excerpta Medica, Concerlit, Aidsline, Bibliomed, Biosis, Healfnstar, IBECS