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Head and neck reconstruction using the platysma myocutaneous flap
D S Ruark1, W C McClairen, U K Schlehaider
1Department of Surgery, Medical Center of Delaware, Wilmington.
American Journal of Surgery
|June 1, 1993
Summary
The platysma myocutaneous flap is a safe and effective option for reconstructing head and neck defects after cancer surgery. This study found a low complication rate, demonstrating its viability in complex cases.
Area of Science:
- Head and Neck Surgery
- Surgical Oncology
- Reconstructive Microsurgery
Background:
- Head and neck cancers often require extensive surgical resection, leading to significant defects.
- Reconstruction of these defects is crucial for restoring function and aesthetics.
- The platysma myocutaneous flap is one surgical option for reconstruction.
Purpose of the Study:
- To evaluate the efficacy and safety of the platysma myocutaneous flap in head and neck reconstruction.
- To analyze flap-related complications and patient outcomes.
Main Methods:
- Retrospective analysis of 41 patients who underwent head and neck reconstruction using a platysma myocutaneous flap.
- Patients had epidermoid carcinoma with varying tumor sizes (T1-T4).
- Neck dissections and adjuvant therapies (radiotherapy, chemotherapy) were recorded.
Main Results:
- A total of 41 patients were analyzed, with primary malignancies in the oral cavity, oropharynx, and hypopharynx.
- The mean hospital stay was 13 days.
- A low flap complication rate of 19% was observed, including partial flap necrosis and fistula formation, with most managed conservatively.
Conclusions:
- The platysma myocutaneous flap is a viable and safe reconstructive option for intraoral and pharyngeal defects.
- The flap demonstrates a favorable outcome profile with minimal complications in head and neck cancer patients.
- This technique offers a reliable solution for complex reconstructive challenges in oncologic surgery.