Evidence map›Paper›PMID 40940987›Full record

ReviewCancers2025

Reconstruction of the Oral Cavity Using Facial Vessel-Based Flaps-A Narrative Review.

Emilia Lis, Weronika Michalik, Jakub Bargiel, Krzysztof Gąsiorowski, Tomasz Marecik, Paweł Szczurowski, Grażyna Wyszyńska-Pawelec, Andrzej Dubrowski, Michał Gontarz

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Emilia LisStudents' Scientific Group of the Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland.ORCID 0009-0001-6220-9745
Weronika MichalikStudents' Scientific Group of the Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland.
Jakub BargielDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland.ORCID 0000-0003-1032-3084
Krzysztof GąsiorowskiDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland.ORCID 0000-0002-3819-3499
Tomasz MarecikDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland.
Paweł SzczurowskiDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland.
Grażyna Wyszyńska-PawelecDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland.ORCID 0000-0001-7185-0633
Andrzej DubrowskiDepartment of Anatomy, Jagiellonian University Medical College, 31-034 Cracow, Poland.
Michał GontarzDepartment of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, 30-688 Cracow, Poland.ORCID 0000-0002-8180-948X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReconstruction of oral cavity defects following oncologic surgery presents both functional and esthetic challenges. While microvascular free flaps remain the gold standard for large defects, local flaps based on facial vessels offer effective solutions for small-to-medium-sized reconstructions. This narrative review evaluates the clinical utility of three commonly used facial vessel-based flaps: facial artery musculomucosal, submental, and nasolabial flaps.

methodsA literature search was conducted using PubMed, targeting studies from 1981 to 2025 that described the anatomical basis, harvesting techniques, modifications, indications, advantages, disadvantages, complications, limitations, and outcomes of these flaps. A total of 73 full-text articles were included based on predefined inclusion criteria.

resultsThe FAMM flap provides versatile intraoral coverage with low donor site morbidity. The submental flap is effective in select patients, particularly those unfit for microvascular surgery, though its oncologic safety in neck-positive cases is limited. The nasolabial flap offers good esthetic and functional results with minimal external scarring. Each flap presents unique attributes regarding reach, vascularity, and complication profiles.

conclusionsFacial vessel-based flaps are viable and effective options for oral cavity reconstruction in appropriate clinical scenarios. Thorough knowledge of flap anatomy, indications, and oncologic considerations is essential for optimal outcomes.

Indexed as

facial arteryFAMM flaplocal flapsnasolabial flaporal cavity reconstructionsubmental flap

Identifiers

PMID40940987
PMCPMC12428173

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.