The platysma myocutaneous flap for oral reconstruction

Handa, Yujiro; Kitajima, Tadashi; Takagi, Norio; Yasuoka, Tadashi; Naitoh, Kouichi; Tatematsu, Norichika; Oka, Nobumitsu

doi:10.1016/s1010-5182(89)80061-7

Cited by 9 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The studies in the entered sample are listed in the references. [2][3][4]7,8,[13][14][15][16][17][18][19][20][21][22] The patients are summarized in Table 1. Figure 1 shows the proportion of patients with any postoperative recipient site complication according to study size.…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Platysma Myocutaneous Flap for Head and Neck Reconstruction

Szudek

Taylor²

2007

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

To systematically review and quantify complication rates and to identify preoperative factors among patients who underwent platysma myocutaneous flap reconstruction for head and neck cancer. Design: This study analyzed 190 patients in 16 case series published between 1982 and 2002. Funnel plots, contingency tables, and 2 analyses were used to minimize bias and heterogeneity among the studies. Logistic regression models were used to quantify the associations between preoperative factors (age, sex, T stage, prior radiation therapy, and recipient site) and complications (skin loss or necrosis, fistula, dehiscence, hematoma, and infection) at different recipient sites (floor of mouth, alveolar ridge, pharyngeal wall, buccal mucosa, tongue or tongue base, and tonsil). Setting: Academic research. Patients: Patients described in the literature with head and neck surgery who underwent platysma flap reconstruction. Main Outcome Measures: Results of logistic regression analyses. Results: Seventy-one patients (37%) developed a complication, ranging from 20% at the buccal mucosa to 55% at the tonsil and at the alveolar ridge. Major complications (ie, those requiring further surgery) occurred in 5% of patients. The most common complication was skin loss or necrosis, occurring in 25% of patients. Postoperative complications were not associated with age or sex but were associated with recipient site and tumor stage. Overall, complications were 0.3 (95% confidence interval [CI], 0.1-1.1) times less common at the buccal mucosa than at other recipient sites. Hematomas were 18.8 (95% CI, 1.6-217) times more common at the buccal mucosa. Infections were 20.0 (95% CI, 1.1-350) times more common at the pharyngeal wall. Major complications were 4.6 (95% CI, 0.9-23.5) times more likely, and fistulas were 9.2 (95% CI, 2.0-43.1) times more likely in patients with stage T3 or T4 oral cancer than in patients with lesser grades. Conclusions: Postoperative complications were not associated with age, sex, or preoperative radiation therapy, but they were associated with recipient site and tumor stage. These results may guide surgeons considering the platysma flap to reconstruct head and neck cancer.

show abstract

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Platysma Myocutaneous Flap for Head and Neck Reconstruction

Szudek

Taylor²

2007

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Since then, there have been further reports on the use of this flap but, with the advent of microsurgical alternatives such as the radial forearm and lateral arm flaps, it does not seem to have found widespread application. 30,31 More recently, new indications to the use of island cervical flaps have been suggested by Parkash et al, 32 Cannon et al, 33 Pech et al, 34 Hurwitz et al, 35 Suarez Nieto et al, 36 Delerm et al, 37 Talmant, 38 Coleman et al, 39 Handa et al, 40 Manni and Bruaset, 41 Conley et al, 42 Martin et al, 43 Abyholm and Skelleborg, 44 Michelet et al, 45 Zimman, 46 de Melho-Filho et al, 47 and Lin et al 48 We felt it would be worth revisiting this flap, which we still feel is of great utility, providing a translation of Dr. Tessier's manuscript, along with the cumulative experience of all 4 coauthors.…”

mentioning

confidence: 99%

Platysma-Based Myocutaneous Clavicular Island Flap for Intraoral Reconstruction

Tessier

Matthews²,

Kamerer³

et al. 2011

Annals of Plastic Surgery

View full text Add to dashboard Cite

The clavicular myocutaneous island flap, with circulation provided by the platysma and superficial cervical fascia, was first performed by Paul Tessier in 1970, taking his motivation from the prior experience of John Barron with subcutaneous island flaps. A manuscript written by Dr. Tessier on his experience of 120 cases using the flap (which we will refer to as the BT, or Barron-Tessier flap) has been translated and is presented, as well the experiences of Matthews and Wolfe, who learned the procedure from Dr. Tessier, and Kamerer, an ENT/Head and Neck surgeon who learned the procedure from Matthews. In aggregate, we will present our joint experience with 443 cases of the BT flap. Because of its ease and speed of harvest, reliability, and provision of thin, pliable skin, we feel that, in many instances, it is equivalent, or even superior to microsurgical free flap for reconstruction of intraoral lining defects.

show abstract

Vertical platysma myocutaneous flap reconstruction for oral defects using three different incision designs: experience with 68 cases

Huang

Gao

et al. 2018

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

The platysma myocutaneous flap for oral reconstruction

Cited by 9 publications

References 10 publications

Systematic Review of the Platysma Myocutaneous Flap for Head and Neck Reconstruction

Systematic Review of the Platysma Myocutaneous Flap for Head and Neck Reconstruction

Platysma-Based Myocutaneous Clavicular Island Flap for Intraoral Reconstruction

Vertical platysma myocutaneous flap reconstruction for oral defects using three different incision designs: experience with 68 cases

Contact Info

Product

Resources

About