Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Platysma myocutaneous flap - its current role in reconstructive surgery of oral soft tissue defects

  • Eckardt, Andre M. (Department of Cranio-Maxillofacial Surgery, Faculty of Dentistry, Hannover Medical University)
  • Received : 2012.09.05
  • Accepted : 2012.09.09
  • Published : 2013.02.28
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Abstract

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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References

  1. Nakatsuka T, Harii K, Asato H, Takushima A, Ebihara S, Kimata Y, et al. Analytic review of 2372 free flap transfers for head and neck reconstruction following cancer resection. J Reconstr Microsurg 2003;19:363-8. https://doi.org/10.1055/s-2003-42630
  2. Eckardt A, Meyer A, Laas U, Hausamen JE. Reconstruction of defects in the head and neck with free flaps: 20 years experience. Brit J Oral Maxillofac Surg 2007;45:11-5. https://doi.org/10.1016/j.bjoms.2005.12.012
  3. Singh B, Cordeiro PG, Santamaria E, Shaha AR, Pfister DG, Shah JP. Factors associated with complications in microvascular reconstruction of head and neck defects. Plast Reconstr Surg 1999; 103:403-11. https://doi.org/10.1097/00006534-199902000-00007
  4. Genden EM, Rinaldo A, Suarez C, Wei WI, Bradley PJ, Ferlito A. Complications of free flap transfers for head and neck reconstruction following cancer resection. Oral Oncol 2004;40:979-84. https://doi.org/10.1016/j.oraloncology.2004.01.012
  5. Shestak KC, Jones NF, Wu W, Johnson JT, Myers EN. Effect of advanced age and medical disease on the outcome of microvascular reconstruction for head and neck defects. Head Neck 1992;14:14-8. https://doi.org/10.1002/hed.2880140104
  6. Schusterman MA, Kroll SS, Weber RS, Byers RM, Guillamondegui O, Goepfert H. Intraoral soft tissue reconstruction after cancer ablation: a comparison of the pectoralis major flap and the free radial forearm flap. Am J Surg 1991;162:397-9. https://doi.org/10.1016/0002-9610(91)90157-9
  7. Gersuny R. Plastischer ersatz der wangenschleimhaut. Zentralbl Chir 1887;14:706.
  8. Futrell JW, Johns ME, Edgerton MT, Cantrell RW, Fitz-Hugh GS. Platysma myocutaneous flap for intraoral reconstruction. Am J Surg 1978;136:504-7. https://doi.org/10.1016/0002-9610(78)90270-2
  9. Coleman JJ 3rd, Jurkiewicz MJ, Nahai F, Mathes SJ. The platysma musculocutaneous flap: experience with 24 cases. Plast Reconstr Surg 1983;72:315-23. https://doi.org/10.1097/00006534-198309000-00007
  10. Cannon CR, Johns ME, Atkins JP Jr, Keane WM, Cantrell RW. Reconstruction of the oral cavity using the platysma myocutaneous flap. Arch Otolaryngol 1982;108:491-4. https://doi.org/10.1001/archotol.1982.00790560029008
  11. McGuirt WF, Matthews BL, Brody JA, May JS. Platysma myocutaneous flap: caveats reexamined. Laryngoscope 1991;101:1238-44.
  12. Vriens JP. A reappraisal of the platysma myocutaneous island flap. A follow-up study of the functional outcome after reconstruction of the floor of the mouth. Int J Oral Maxillofac Surg 1995;24:212-5. https://doi.org/10.1016/S0901-5027(06)80130-X
  13. Manni JJ, Bruaset I. Reconstruction of the anterior oral cavity using the platysma myocutaneous island flap. Laryngoscope 1986;96:564-7. https://doi.org/10.1288/00005537-198605000-00017
  14. Posnick JC, McCraw JB. Reconstruction of the chin-lower cheek complex with a platysma myocutaneous flap. J Oral Maxillofac Surg 1988;46:152-5. https://doi.org/10.1016/0278-2391(88)90270-4
  15. Ruark DS, McClairen WC Jr, Schlehaider UK, Abdel-Misih RZ. Head and neck reconstruction using the platysma myocutaneous flap. Am J Surg 1993;165:713-8. https://doi.org/10.1016/S0002-9610(05)80794-9
  16. Ozgen K, Berberoglu U, Altinok M, Ozdemir E, Celen O. Reconstruction of full-thickness cheek defects using platysma myocutaneous flaps. Eur J Plast Surg 1993;16:208-11.
  17. Koch WM. The platysma myocutaneous flap: underused alternative for head and neck reconstruction. Laryngoscope 2002;112:1204-8. https://doi.org/10.1097/00005537-200207000-00012
  18. Verschuur HP, Dassonville O, Santini J, Vallicioni J, Poissonnet G, Laudoyer Y, et al. Complications of the myocutaneous platysma flap in intraoral reconstruction. Head Neck 1998;20:623-9. https://doi.org/10.1002/(SICI)1097-0347(199810)20:7<623::AID-HED8>3.0.CO;2-F
  19. Tosco P, Garzino-Demo P, Ramieri G, Tanteri G, Pecorari G, Caldarelli C, et al. The platysma myocutaneous flap (PMF) for head and neck reconstruction: a retrospective and multicentric analysis of 91 T1-T2 patients. J Craniomaxillofac Surg 2012;40:e415-8. https://doi.org/10.1016/j.jcms.2012.02.015
  20. Koch M, Künzel J, Mantsopoulos K, Zenk J, Iro H. Defect closure after oral and pharyngeal tumor resection with the superiorly pedicled myocutaneous platysma flap: indications, technique, and complications. Eur Arch Otorhinolaryngol 2012;269:2111-9. https://doi.org/10.1007/s00405-011-1891-5
  21. Pagani D, Capaccio P, Fontanella W, Sambataro G, Broich G, Pignataro L. Vertical platysma myocutaneous flap reconstruction for T2-staged oral carcinoma. Anticancer Res 2007;27:2961-4.
  22. Puxeddu R, Dennis S, Ferreli C, Caldera S, Brennan PA. Platysma myocutaneous flap for reconstruction of skin defects in the head and neck. Br J Oral Maxillofac Surg 2008;46:383-6. https://doi.org/10.1016/j.bjoms.2007.11.015
  23. Grutzenmacher S, Steinmeier E, Hosemann W. The use of the platysma myocutaneous flap for reconstruction in the head-neck area -- a retrospective study. Laryngorhinootologie 2005;84:733-7. https://doi.org/10.1055/s-2005-870115
  24. Wang KH, Hsu EK, Shemen LJ. Platysma myocutaneous flap for oral cavity reconstruction. Ear Nose Throat J 2010;89:276-9.
  25. Esclamado RM, Burkey BB, Carroll WR, Bradford CR. The platysma myocutaneous flap. Indications and caveats. Arch Otolaryngol Head Neck Surg 1994;120:32-5. https://doi.org/10.1001/archotol.1994.01880250028003
  26. Su T, Zhao YF, Liu B, Hu YP, Zhang WF. Clinical review of three types of platysma myocutaneous flap. Int J Oral Maxillofac Surg 2006;35:1011-5. https://doi.org/10.1016/j.ijom.2006.08.002
  27. Ozcelik T, Aksoy S, Gokler A. Platysma myocutaneous flap: use for intraoral reconstruction. Otolaryngol Head Neck Surg 1997; 116:493-6. https://doi.org/10.1016/S0194-5998(97)70300-0
  28. Lazaridis N, Dimitrakopoulos I, Zouloumis L. The superiorly based platysma flap for oral reconstruction in conjunction with neck dissection: a case series. J Oral Maxillofac Surg 2007;65:895-900. https://doi.org/10.1016/j.joms.2006.06.296
  29. Baur DA, Helman JI. The posteriorly based platysma flap in oral and facial reconstruction: a case series. J Oral Maxillofac Surg 2002;60:1147-50. https://doi.org/10.1053/joms.2002.34989
  30. Ariyan S. The transverse platysma myocutaneous flap for head and neck reconstruction: an update. Plast Reconstr Surg 2003;111:378-80. https://doi.org/10.1097/00006534-200301000-00067
  31. Handa Y, Kitajima T, Takagi N, Yasuoka T, Naitoh K, Tatematsu N, et al. The platysma myocutaneous flap for oral reconstruction. Experience with MacFee's cervical incision. J Craniomaxillofac Surg 1989;17:318-22. https://doi.org/10.1016/S1010-5182(89)80061-7
  32. Mazzola RF, Benazzo M. Platysma flap for oral reconstruction. Clin Plast Surg 2001;28:411-9.
  33. Hurwitz DJ, Rabson JA, Futrell JW. The anatomic basis for the platysma skin flap. Plast Reconstr Surg 1983;72:302-14. https://doi.org/10.1097/00006534-198309000-00005
  34. Uehara M, Helman JI, Lillie JH, Brooks SL. Blood supply to the platysma muscle flap: an anatomic study with clinical correlation. J Oral Maxillofac Surg 2001;59:642-6. https://doi.org/10.1053/joms.2001.23389
  35. Kocer U, Ozdemir R, Ulusoy MG, Uysal A, Sungur N, Sahin B, et al. Anatomy of the platysma muscle and the evaluation of it for the reconstruction of facial defects. J Craniofac Surg 2005;16:463-70. https://doi.org/10.1097/01.SCS.0000150246.23086.81
  36. Peng LW, Zhang WF, Zhao JH, He SG, Zhao YF. Two designs of platysma myocutaneous flap for reconstruction of oral and facial defects following cancer surgery. Int J Oral Maxillofac Surg 2005;34:507-13. https://doi.org/10.1016/j.ijom.2004.10.022
  37. Szudek J, Taylor SM. Systematic review of the platysma myocutaneous flap for head and neck reconstruction. Arch Otolaryngol Head Neck Surg 2007;133:655-61. https://doi.org/10.1001/archotol.133.7.655
  38. Berenholz L, Kessler A, Segal S. Platysma myocutaneous flap for intraoral reconstruction: an option in the compromised patient. Int J Oral Maxillofac Surg 1999;28:285-7. https://doi.org/10.1016/S0901-5027(99)80159-3
  39. Rabson JA, Hurwitz DJ, Futrell JW. The cutaneous blood supply of the neck: relevance to incision planning and surgical reconstruction. Br J Plast Surg 1985;38:208-19. https://doi.org/10.1016/0007-1226(85)90051-7

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