Platysma flap for oral reconstruction

Area of Science:

• Plastic Surgery
• Oral and Maxillofacial Surgery

Background:

• Oral defects require reconstructive solutions.
• Various flaps exist for oral reconstruction, each with unique benefits and drawbacks.

Purpose of the Study:

• To evaluate the efficacy and outcomes of using the platysma flap for oral reconstruction.
• To assess flap survival, complications, and donor site morbidity associated with the platysma flap.

Main Methods:

• A series of 12 consecutive patients underwent oral reconstruction using the platysma flap.
• Surgical outcomes, including flap survival and complications, were documented.
• Donor site morbidity and operative time were assessed.

Main Results:

• Flap survival was achieved in all 12 patients.
• Venous congestion was a frequent observation but resolved spontaneously.
• One case of marginal flap necrosis occurred, attributed to venous drainage issues.
• Secondary defects healed without fistula formation.
• The platysma flap required less time for outlining compared to other flaps.
• Donor site morbidity was minimal.

Conclusions:

• The platysma flap is an effective and reliable option for oral reconstruction in selected cases.
• It offers a high success rate with manageable complications and minimal donor site morbidity.
• The procedure is efficient, making it a rewarding solution for oral defects.