Platysma myocutaneous flap revisited

Area of Science:

• Head and Neck Surgery
• Reconstructive Surgery
• Anatomy

Background:

• The platysma myocutaneous flap has had limited use in head and neck reconstruction.
• Previous focus has been on its vascular supply and oral cavity applications.

Purpose of the Study:

• To emphasize the utility of the platysma myocutaneous flap for specific head and neck defects.
• To outline selection criteria, limitations, and new harvesting techniques.
• To describe complications and necessary precautions.

Main Methods:

• Review of platysma myocutaneous flap applications in head and neck reconstruction.
• Description of anatomical vascular supply and flap preparation.
• Presentation of new flap harvesting variations with randomized muscular support.

Main Results:

• The platysma myocutaneous flap is suitable for base of tongue, hypopharynx, lateral pharyngeal wall, and supraglottis defects.
• Specific criteria and limitations for flap selection are identified.
• New flap variations and observed complications are detailed.

Conclusions:

• The platysma myocutaneous flap offers viable reconstructive options for specific head and neck defects.
• Understanding anatomical considerations and employing described variations can optimize outcomes.
• Awareness of potential complications and adherence to precautions are crucial for safe application.