Abstract
Various methods of reconstruction are available for reconstructing oral cancer defects, but all of them have their inherent drawbacks. The superiorly based platysma myocutaneous flap is a common reconstruction option for intra-oral defects following oral cancer resections. We present our results of using platysmal flaps in reconstructing intraoral defects following oral cavity cancer resection in our 7 patients along with resection of three cases of premalignant conditions of oral cavity. All the patients were males of age ranging from 24 to 42 years and diagnosed as squamous cell carcinoma of oral cavity stage I and II were included in this study.Of 10 patients eight had no postoperative complications. One patient developed partial skin loss of neck donor site, which was managed conservatively. Other patient had complete flap loss which healed with secondary intention. We recommend this flap as incision is always away from the face, the scars are hidden beneath collars and the patients are very comfortable with good cosmetics and functional outcomes.\.
Similar content being viewed by others
References
Futrell JW, Johns ME, Edgerton MT, Cantrell RW, Fitz-Hugh GS (1978) Platysma myocutaneous flap for intraoral reconstruction. Am J Surg 136:504–507
Gupta D, Sharma SC (1988) Oral submucous fibrosis – a new treatment regimen. J Oral Maxillofac Surg 46:830
Schusterman MA, Kroll SS, Weber RS, Byers RM, Guillamondegui O, Goepfert H (1991) Intraoral soft tissue reconstruction after cancer ablation: a comparison of the pectoralis major flap and the free radial forearm flap. Am J Surg 162:397–399
Gersuny R (1887) Plastischer ersatz der wangenschleimhaut. Zentralbl Chir 14:706
Coleman JJ 3rd, Jurkiewicz MJ, Nahai F, Mathes SJ (1983) The platysma musculocutaneous flap: experience with 24 cases. PlasticReconstr Surg 72:315–323
Vriens JP (1995) 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 24:212–215
Posnick JC, McCraw JB (1988) Reconstruction of the chin-lower cheek complex with a platysma myocutaneous flap. J Oral Maxillofac Surg 46:152–155
Koch WM (2002) The platysma myocutaneous flap: underused alternative for head and neck reconstruction. Laryngoscope 112:1204–1208
Szudek J, Taylor SM (2007) Systematic review of the platysma myocutaneous flap for head and neck reconstruction. Arch Otolaryngol Head Neck Surg 133:655–661
Verschuur HP, Dassonville O, Santini J, Vallicioni J, Poissonnet G, Laudoyer Y et al (1998) Complications of the myocutaneous platysma flap in intraoral reconstruction. Head Neck 20:623–629
Hurwitz DJ, Rabson JA, Futrell JW (1983) The anatomic basis for the platysma skin flap. Plast Reconstr Surg 72:302–314
Berenholz L, Kessler A, Segal S (1999) Platysma myocutaneous flap for intraoral reconstruction: an option in the compromised patient. Int J Oral Maxillofac Surg 28:285–287
Ruark DS, McClairen WC Jr, Schlehaider UK, Abdel-Misih RZ (1993) Head and neck reconstruction using the platysma myocutaneous flap. Am J Surg 165:713–718
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval
It was not required as it was a retrospective study.
Source of Support
Nil.
Conflict of Interest
None declared.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Sahni, M., Singh, S., Kishor, K. et al. Platysmal Myocutaneous Flap for Intra Oral Defects:Is It an Underutilized Option? Our Experience of 10 Cases. Indian J Otolaryngol Head Neck Surg 75, 3581–3584 (2023). https://doi.org/10.1007/s12070-023-04055-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-023-04055-y