The plastysma myocutaneous flap.

Area of Science:

• Reconstructive surgery
• Head and neck surgery
• Plastic surgery

Background:

• Reconstructing extensive oral cavity and facial defects post-extirpation poses surgical challenges.
• Current reconstructive techniques may have limitations in terms of functional and aesthetic outcomes.

Purpose of the Study:

• To present two variations of the platysma myocutaneous flap for head and neck reconstruction.
• To highlight the reliability and versatility of these flaps for oral cavity, lower face, and ear defects.

Main Methods:

• Discussion of two distinct platysma myocutaneous flap techniques.
• Emphasis on anatomical considerations, particularly vascular supply to the flap pedicle.

Main Results:

• Platysma myocutaneous flaps demonstrate reliability and versatility in reconstruction.
• Advantages include good color match, appropriate thickness, and minimal donor site morbidity.
• Flaps are easily harvested from an adjacent donor site within the same operative field.

Conclusions:

• Platysma myocutaneous flaps are effective for reconstructing oral cavity, lower face, and ear defects.
• Understanding flap anatomy, especially vascular pedicle entry, is crucial for successful application.
• These flaps offer a valuable option for surgeons dealing with complex extirpative defects.