The perforators of angular branch of facial artery
nourishe the nasolabial region and give many flap options for nasal reconstruction.
of attack The court heard how the cut to his neck penetrated the muscle and cut the external jugular vein and his facial artery
. He had lacerations to the chest and arm, the tendons of his fingers were cut and he had a full thickness cut near one of his eyes.
The angular artery is the terminal branch of the facial artery
. It runs up the lateral surface of the nose, and terminates in the frontal tissues (Fig.
Medially it is related to the lingual artery, the facial artery
, superficial temporal artery, the maxillary artery, the internal carotid artery, the internal jugular vein and the stylomandibular ligament.
The facial artery
is the major extraosseous source of blood to mandibular body.
Various techniques have been suggested for the closure e-g buccal mucosal graft, split thickness graft , allogenic graft, tongue flaps, fibromucosal plate flaps (the push back technique), facial artery
musculo-mucosal flaps (FAMM Flap) , temporal muscle flaps and buccal fat pad flap.
But this flap can also be associated with some limitations such as risk of nodal metastasis difficulty in clearing the level I lymph nodes and in addition to its contraindications which include previous radiotherapy ligation of the facial artery
or prior neck surgery.1011 On the other hand flexibility good color and texture match are the features of platysma flap for reconstruction along with good functional outcomes due to capability of closing medium sized defects associated with head and neck can be pedicled either superiorly inferiorly or posteriorly.
In this presentation we share our experience with the use of the facial artery
muscular mucosa flap in the management of the nasopharyngeal stenosis (FAMM) at the Kenyatta National Hospital, a tertiary facility in Kenya.
The flap was properly inserted and sutured to restore the defect and microanastomoses were performed between radial and facial artery
The development of a facial artery
pseudoaneurysm (PA) after facial fracture surgery is an extremely uncommon occurrence, but may result in serious bleeding in the post-operative period.
The facial artery
, transverse facial vessel and the internal maxillary artery as well as their anastomosing branches enter the fat tissue and form a lobar subcapsular vascular plexus by anastomosing with each other.
In 1 patient it was repeated on the same day, initially ipsilateral IMA and facial artery
were embolized but on 2nd attempt contralateral IMA was also occluded, this could be a contribution from the contralateral IMA.