Platysma flap using dual skin paddles.

Area of Science:

• Head and Neck Surgery
• Reconstructive Surgery
• Oral and Maxillofacial Surgery

Background:

• The platysma myocutaneous flap is infrequently documented for head and neck reconstruction.
• This flap is characterized by ease of elevation and minimal donor site morbidity.
• It facilitates the early restoration of oral functions.

Purpose of the Study:

• To evaluate the utility of the platysma myocutaneous flap in head and neck reconstruction.
• To present a modified technique for simultaneous intraoral and cutaneous defect repair.
• To report the successful management of an aggressive orocutaneous fistula.

Main Methods:

• A modified platysma myocutaneous flap was designed with two independent skin paddles.
• The flap was utilized for reconstruction in a patient with a complex orocutaneous fistula.
• Surgical technique focused on simultaneous repair of intraoral and cutaneous defects.

Main Results:

• The modified platysma flap proved to be a reliable reconstructive option.
• The technique allowed for concurrent closure of both intraoral and cutaneous defects.
• The patient experienced a good clinical outcome with early resumption of oral function.

Conclusions:

• The platysma myocutaneous flap is a viable and effective option for head and neck reconstruction.
• A modified two-paddle design enables simultaneous repair of complex defects.
• This approach offers advantages in terms of functional recovery and patient outcomes.