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Introduction: Clinicians are baffling for reconstruction of small- to medium-sized defects of the oral cavity since time immemorial, each and every flap has its own limitations, ideal flap should be pliable, easily transferrable that can result in a better restoration of form and function of oral mucosa, we have platysma for the same purpose.
Aims: We aim to provide surgical technique of the superiorly-based platysma myocutaneous flap with a single neck incision in this study, as well as the flap design, results, and complications associated with age, gender, the recipient site, and the size of the defect.
Materials And Methods: Study included 20 patients with oral potentially malignant disorders operated under local anaesthesia with wide local excision and reconstruction with platysma myocutaneous flap at a single tertiary care centre
Statistical Analysis: The association between the variables was calculated using Chi-square tests and paired t tests. < 05 was considered significant.
Results: Five cases of dehiscence were found at varied sites and flap viability was significantly influenced by location of skin paddle. In between anterior jugular vein and posterior external jugular vein it was 100% viable while on and posterior to the vein, had skin paddle loss. Significant improvement in mouth opening was also seen in Oral Sub-mucous Fibrosis patients.
Conclusion: The platysma flap is a technique sensitive, and its results are promising for the reconstruction of oral defects.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474764 | PMC |
http://dx.doi.org/10.1007/s12663-021-01671-5 | DOI Listing |
J Oral Maxillofac Surg
July 2025
Senior Lecturer, Department of Oral and Maxillofacial Surgery, Kusum Devi Sunderlal Dugar Jain Dental College and Hospital, Kolkata, India.
Background: Oral submucous fibrosis (OSF) is a chronic, insidious, and potentially malignant condition. The treatment is categorized into nonsurgical and surgical modalities based on the severity of the condition.
Purpose: The study purpose was to measure and compare maximum interincisal opening (MIO) between patients treated with extended nasolabial flap (NLF) and platysma myocutaneous flap (PMF) in the surgical management of OSF.
Ann Maxillofac Surg
July 2025
Department of Oral and Maxillofacial Surgery, Government College of Dentistry, Indore, Madhya Pradesh, India.
Introduction: The study was carried out to compare platysma myocutaneous flap and extended nasolabial flap in terms of post-operative mouth opening, duration of surgery and complications associated with it in the surgical management of oral submucous fibrosis (OSMF).
Materials And Methods: Patients diagnosed with OSMF (Grade III and IV OSMF according to Khanna and Andrade classification) were included in the study. Thirty patients were selected for the study, out of which 15 patients underwent reconstruction of surgical defects with platysma myocutaneous flap (Group I), and other 15 patients underwent reconstruction with extended nasolabial flap (Group II) post fibrotomy.
World J Surg Oncol
May 2025
Department of Otolaryngology Head and Neck Surgery, The Affiliated Hospital of Southwest Medical University, No. 25 Jiangyang District, Taiping Street, Luzhou, 646000, China.
Objectives: This study investigated the characteristics and clinical efficacy of transoral endoscopy-assisted low-temperature plasma surgery for the treatment of oropharyngeal malignant tumours.
Methods: The clinical data of 14 patients who underwent transoral endoscopy-assisted low-temperature plasma resection of oropharyngeal malignant tumours in the Department of Otolaryngology-Head and Neck Surgery from January 2017 to October 2024 were retrospectively analysed. The general characteristics, clinical pathology results, surgical methods, operative time, volume of blood loss, length of hospitalization, and follow-up status of the patients were analysed.
Eur Arch Otorhinolaryngol
August 2025
Division of Otorhinolaryngology-Head and Neck Surgery, "San Maurizio" Hospital, 39100, Bolzano, Italy.
Background: Reconstructive surgery relies on microvascular flaps as the gold standard, however, for patients at high risk of extended procedures, a local flap may be preferable. In such cases, the platysma flap represents an effective option for the oral cavity, oropharynx, and small to medium-sized facial defects. Nevertheless, its use remains controversial, particularly regarding oncological radicality and safe neck dissection.
View Article and Find Full Text PDFEar Nose Throat J
February 2025
Department of Otolaryngology-Head and Neck Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
A case of a 60-year-old male patient with thyroid cancer invading the trachea was presented in the current study. After the initial surgery via a sternocleidomastoid muscle (SCM) clavicular periosteal flap for tracheal reconstruction, the patient experienced flap necrosis. Subsequent debridement and tracheocutaneostomy were performed, followed by a successful repair of the tracheal defect using a platysma myocutaneous flap.
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