Platysma myocutaneous flap for intraoral reconstruction

The platysma myocutaneous flap (PMF) for head and neck reconstruction: A retrospective and multicentric analysis of 91 T1–T2 patients

“…In the literature, pedicled flaps can be used for medium-size intraoral reconstruction following oral cancer resection. As one of the cervical pedicled flaps, the platysma myocutaneous flap (PMF) was first used for intraoral reconstruction in 1978 (Futrell et al, 1978). This flap offers many advantages: it is thin and pliable, easy to harvest; its location near to the oral cavity allows reconstruction of many intraoral areas including defects of the pharynx, hypopharynx, lower lip and ear (Cannon et al, 1982, Hurwitz et al, 1983, Ruark et al, 1993and Ariyan, 1997.…”

“…Furthermore, it is easy to transfer because of its adequate arc of rotation. Donor site morbidity is low, with neck wound healing by primary closure and an overall acceptable surgical time (Futrell et al, 1978, Koch, 2002, Cannon et al, 1982, Coleman et al, 1983, Ruark et al, 1993and Esclamado et al, 1994. Pliability of the flap allows later shaping so as to allow dental prosthetic rehabilitation.…”

“…The platysma myocutaneous flap (PMF) was first used for intraoral reconstruction in 1978 by Futrell (Futrell et al, 1978). The increasing use of microvascular free tissue transfer has led to this flap being used less often, even though it provides satisfactory results with an acceptable level of morbidity.…”

“…Surgeons' experience over the years has shown that microvascular flaps are not always appropriate, and the PMF is not only an alternative to microvascular flaps but it also represents an excellent reconstructive choice in some cases. The PMF is readily available, easy to harvest, thin and pliable, promoting three dimensional reconstruction, and there is a limited donor site morbidity with primary closure of the neck (Futrell et al, 1978, Cannon et al, 1982, Coleman et al, 1983, Hurwitz et al, 1983, Ruark et al, 1993, Esclamado et al, 1994and Koch, 2002. It is large enough to close most head and neck ablative defects up to 70 cm 2 and no special equipment is required (Koch, 2002).…”

Expression of Cross-Linked Protein on Tissue-Engineered Epithelial Cell Sheets from Rabbit Oral Mucosa

“…The skin being the largest organ of the body is an abundant source of autologous graft. Skin grafts taken from the radial forearm or lateral forearm and rectus abdominis have been utilized to restore the shape and function of the oral cavity after surgery [1][2][3] . However, because of the shortage of donor, tissue engineering is now becoming a promising technology for a continuous supply of tissue 4) .…”