Application of platysma myocutaneous flap with apron incision in the restoration of oral and maxillofacial defects
10.3969/j.issn.1001-3733.2017.01.010
- VernacularTitle:围裙式颈阔肌肌皮瓣在口腔颌面部缺损修复中的应用
- Author:
Long HUANG
;
Feng GUO
;
Xinqun CHEN
;
Canhua JIANG
;
Xinchun JIAN
- Keywords:
Apron incision;
Platysma myocutaneous flap;
Oral and maxillofacial region;
Defect;
Restoration
- From:
Journal of Practical Stomatology
2017;33(1):45-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce a new style of platysma myocutaneous flap and to evaluate its application value in the restoration of oral-maxiofacial defects.Methods:Platysma myocutaneous flap with apron incision was used for the restoration of oral-maxiofacial defects after oral lesion ablation in 15 cases from January,2014 to September,2015.The platysma muocutaneous flap was harvested with a U shaped apron incision.The skin above the flap pedicle was preserved.The platysma pedicle was widened to ensure the flap survival.All the patients were followed up form 4 to 33 months.Results:Of the 15 platysma myocutaneous flaps,12 survived completely and 3 had partial flap necrosis.The total survival rate of the flaps at the recipient site of buccal mucosa,tongue and alveolar was 8/9,1/3 and 3/3 respectively.Additionally,there were 2 cases of disturbed wound healing in the neck.Except for 1 case of carcinoma of gingiva which had apparent cervical scar and 1 case of tongue carcinoma which had limited tongue mobility,the other cases showed a satisfactory recovery of oral-maxillofacial contour and fucnction.Conclusion:Compared with the traditional platysma myocutaneous flap,the platysma myocutaneous flap with apron incision can provide a larger skin paddle,and is suitable for the restoration of small and medium sized buccal mucosa and alveloar defects,but not for tongue defect.
