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A CLINICAL STUDY ON SUPERIORLY BASED PLATYSMA MYOCUTANEOUS CERVICAL FLAP FOR RECONSTRUCTION FOLLOWING INTRAORAL SOFT TISSUE CANCER SURGERY  

Park, Bong-Wook (Department of Oral and Maxillofacial Surgery, College of Medicine and Institute of Health Sciences, Gyeongsang National University School of Medicine)
Byun, June-Ho (Department of Oral and Maxillofacial Surgery, College of Medicine and Institute of Health Sciences, Gyeongsang National University School of Medicine)
Shin, Hee-Suk (Department of Rehabilitation Medicine, College of Medicine and Institute of Health Sciences, Gyeongsang National University School of Medicine)
Kim, Jong-Ryoul (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.30, no.1, 2008 , pp. 83-91 More about this Journal
Abstract
The goal of reconstruction following ablative therapy for intraoral cancer is the restoration of form and function to permit a return to activities of daily life. Traditional reconstruction includes split thickness skin grafts, myocutaneous flaps and, more recently, various free flaps. Free flaps provide higher level of functional recovery relative to that seen with other techniques but require the complexity of the technique and microvascular anastomosis and thus, extended surgical time and occasionally a second team for harvesting. The platysma myocutaneous cervical flap is a possible alternative for intraoral reconstruction. It is thin and pliable like the tissue provided by the radial forearm free flap. It can be harvested with enough tissue to close most head and neck ablative defects. There is virtually no donor site morbidity involved. This study evaluated 7 patients affected by intraoral squamous cell carcinoma (SCC). All patients underwent the resection of intraoral SCC with neck dissection and subsequent intraoral reconstruction with the superiorly based platysma myocutaneous cervical flap. Flap-related complications occurred in 3 patients. Adjuvant radiation therapy was performed in 3 patients. Average follow-up was 24.1 months after surgery, with a range of 8 to 42 months. All patients presented self assessment of discomfort associated with intraoral recipient sites and cervical donor sites. However, the neck function measured by two-inclinometer technique was within the normal range during relatively long term follow-up period. Our study concluded that superiorly based platysma myocutaneous cervical flap is good alternative to free flaps, especially for relatively smaller defects and for the defects appropriate for the rotation arc of the flap.
Keywords
Superiorly based platysma myocutaneous cervical flap; Oral cancer; Neck dissection;
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1 Lazaridis N, Dimitrakopoulos I, Zouloumis L : The superiorly based platysma flaps for oral reconstruction in conjunction with neck dissection : A case series. J Oral Maxillofac Surg 65 : 895, 2007   DOI   ScienceOn
2 Kim SY, Mathog RH : Platysma mucle-cervical fasciasternocleidomastoid muscle for parotidectomy. Head Neck 21 : 428, 1999   DOI   ScienceOn
3 Ikeda Y, Takami H, Sasaki Y et al : Clinical benefits in endoscopic thyroidectomy by the axillary approach. J Am Coll Surg 196 : 189, 2003   DOI   ScienceOn
4 Harpf C, Papp C, Maurer H et al : Reconstruction of the lower lip with the myocutaneous platysma flap. Eur J Plast Surg 15 : 296, 1992   DOI
5 Farr HW, Jeans-Gilles B, Die A : Cervical island skin flap repair of oral and pharyngeal defects in the composite operation for cancer. Am J Surg 118 : 759, 1969   DOI   ScienceOn
6 Uehara M, Helman JI, Lillie JH et al : Blood supply to the platysma muscle flap: an anatomic study with clinical correlation. J Oral Maxillofac Surg 59 : 642, 2001   DOI   ScienceOn
7 Ruark DS, McClairen WC Jr, Schlehaider UK et al : Head and neck reconstruction using the platysma myocutaneous flap, Am J Surg 165 : 713, 1993   DOI   ScienceOn
8 Verschuur HP, Dassonville O, Santini J et al : Complications of the myocutaneous flap in intraoral reconstruction. Head Neck 20 : 623, 1998   DOI   ScienceOn
9 Berenholz L, Kessler A, Segal S : Platysma myocutaneous flap for intraoral reconstruction: an option in the compromised patient. Int J Oral Maxillofac Surg 28 : 285, 1999   DOI   ScienceOn
10 Conley JJ, Lanier DM, Tinsley T Jr : Platysma myocutaneous flap revisited. Arch Otolaryngol Head Neck Surg 112 : 711, 1986   DOI   PUBMED   ScienceOn
11 Rabson JA, Hurwitz DJ, Futrell JW : The cutaneous blood supply of the neck: relative to incision planning and surgical reconstruction. Br J Plast Surg 38 : 208, 1985   DOI   ScienceOn
12 Zhao YF, Zhang WF, Zhao JH : Reconstruction of intraoral defects after cancer surgery using cervical pedicle flaps. J Oral Maxillofac Surg 59 : 1142, 2001   DOI   ScienceOn
13 Kocer U, Ozdemir R, Ulusoy MG et al : Anatomy of the platysma muscle and the evaluation of it for the reconstruction of facial defects. J Craniofac Surg 16 : 463, 2005   DOI   ScienceOn
14 Tashiro H, Ozeki S, Ohishi M et al : Cervical island skin flap for intraoral repair following cancer surgery. Br J Oral Maxillofac Surg 30 : 18, 1992   DOI   ScienceOn
15 McGuirt WF, Mathews BL, Brody JA et al : Platysma muscle flap: caveats reexamined. Laryngoscope 101 : 1233, 1991   DOI   ScienceOn
16 Hurwitz DJ, Rabson JA, Futrell JW : The anatomic basis for the platysma skin flap. Plast Reconstru Surg 72 : 302, 1983   DOI   ScienceOn
17 Futrell JW, Johns ME, Edgerton et al : Platysma myocutaneous flap for intraoral reconstruction. Am J Surg 136 : 504, 1978   DOI   ScienceOn