Facial artery myomucosal flap reconstruction of a hemilaryngectomy defect: a case report

Background: A multitude of flaps have been used in post-laryngectomy reconstruction, involving different operative sites and histologically different donor tissue types. Methods: Plastic surgeons have used the pedicled facial artery myomucosal (FAMM) flap to reconstruct a perilaryngeal defect following resection of a low-grade thyroid chondrosarcoma. Results: On six-week postoperative review, the patient was eating and swallowing well, and speech was intelligible. On five-year review, the flap looked like normal mucosa and a patent airway was maintained. Conclusion: The FAMM flap provided a novel solution with excellent functional results and no donor site morbidity, warranting its consideration for perilaryngeal defects.