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

Tosco, Paolo; Garzino-Demo, Paolo; Ramieri, Guglielmo; Tanteri, Giulia; Pecorari, Giancarlo; Caldarelli, Claudio; Garzaro, Massimiliano; Giordano, Carlo; Berrone, Sid

doi:10.1016/j.jcms.2012.02.015

Cited by 26 publications

(18 citation statements)

References 22 publications

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“…Intraoperative situations such as an extended radical neck dissection with multiple vessel ligations must be included in the surgical planning11,18,25. We would agree with Tosco et al19. that the main contraindications to use the platysma myocutaneous flap are previous surgical scaring or previous neck radiation therapy, the need of tissue bulk in the defect zone, defect size larger than 7×10 cm, and when there is radiologic suspicion or evidence of neck metastases with extracapsular spread.…”

Section: Discussionmentioning

confidence: 68%

Platysma myocutaneous flap - its current role in reconstructive surgery of oral soft tissue defects

Eckardt

2013

J Korean Assoc Oral Maxillofac Surg

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Reconstruction of oral soft-tissue defects following resection of oral carcinomas can be achieved using various techniques including microsurgical tissue transfer. However, there seems to be a role for regional or local flaps. Small to medium-size defects can be functionally reconstructed with the platysma myocutaneous flap as an excellent choice particularly in medically compromised patients not being eligible for free tissue transfer. The present paper reviews the indication, surgical technique, and complications following reconstruction of defects of the oral cavity with the platysma myocutaneous flap.

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Section: Discussionmentioning

confidence: 68%

Platysma myocutaneous flap - its current role in reconstructive surgery of oral soft tissue defects

Eckardt

2013

J Korean Assoc Oral Maxillofac Surg

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“…However, the platysmal flap requires a bony or buccinator muscle support and is less reliable for soft tissue reconstruction in non-supported sites. The pedicled flaps are more likely to go into partial necrosis or development of fistulas compared to free flaps in regions without bony or muscular support [10]. In our series all the patients were provided enteral feeds by a nasogastric tube as it facilitates the healing process.…”

Section: Discussionmentioning

confidence: 96%

The Posterosuperiorly Based Platysmal Myocutaneous Flap: The Underutilized Reconstructive Option

Thakkur

Pandya

2013

J. Maxillofac. Oral Surg.

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The platysmal myocutaneous flap has shown promising results for the reconstruction of defects in the head and neck region. It has been successfully used for the reconstruction of the defects over the cheek, floor of the mouth, buccal mucosa, tongue, lower lip, mandibular alveolus, hypopharnx and supraglotic larynx. The posteriorly and the superiorly based platysmal flaps have a wide range of applicability in the reconstruction of intraoral defects. In the present series we have used a posterosuperiorly based platysmal flap which has shown encouraging results. It was also found that leaving the base of the mandible intact helps in maintaining the periosteal blood supply which further contributes to the survival of the flap. The thinness, arc of rotation, pliability and ease of availability of the platysmal myocutaneous flap gives the reconstructive surgeon an additional option, especially when a microvascular flap is not feasible.

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“…Pedicled flaps have a vital role in reconstruction of medium to large sized defect of oral cavity [7] [8].…”

Section: Introductionmentioning

confidence: 99%

Submental flap as an alternative to microsurgical flap in intraoral post-oncological reconstruction in the elderly

Schönauer¹,

Martino²,

Nele³

et al. 2016

International Journal of Surgery

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Oral and oropharyngeal squamous cell carcinoma (Scc) occur most commonly in middle-aged and elderly individuals. Free flaps are commonly used for reconstruction of extensive tumor resection defects in the oral cavity. Age alone is not an independent variable for increased risk in microvascular reconstruction; however operative time and ASA risk score correlated with medical complications but not with surgical complications. The submental island flap has proven to be a reliable alternative in reconstruction of composite oral cavity defects for its thinness, pliability and versatility in design, shared by the radial forearm free flap, and its advantageous donor site. The submental flap can be easily raised and involves shorter operative time and hospital stay compared to the free-flap procedure. It can be an excellent choice in patients with a high ASA risk score, moreover in elderly patients, where the potential complications linked to microsurgical procedures are avoided.

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

Cited by 26 publications

References 22 publications

Platysma myocutaneous flap - its current role in reconstructive surgery of oral soft tissue defects

Platysma myocutaneous flap - its current role in reconstructive surgery of oral soft tissue defects

The Posterosuperiorly Based Platysmal Myocutaneous Flap: The Underutilized Reconstructive Option

Submental flap as an alternative to microsurgical flap in intraoral post-oncological reconstruction in the elderly

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