It is obvious that myodermal platysma flap is a little bit thicker than platysma myofascial flap. Local and regional flaps in head and neck reconstruction. Submental flap for reconstructing tongue defect with vy. The results of treatment of 36 patients tumour excision plus bilateral neck dissection and post. Most authors who described the technique used a superiorly based flap, elevated the skin flap to fully expose the platysma, and ensured a minimum muscle. Kummoona platysma muscle flap for reconstruction of the atrophied masseter muscle, new technique. Direct closure of the esophageal defect with a twolayer technique was done. Large area of the skin from the inferior part of the neck can be harvested for defects of the cheek. Research open access vertical platysma myocutaneous flap that sacrifices the facial artery and vein zhenning li1,2, ruiwu li1,2, fayu liu1,2, qigen fang1,2, xu zhang1,2 and changfu sun1,2 abstract background.
Both platysma and submental flap techniques can be used for the reconstruction of complex facial defects with the acceptable functional outcomes. Comparisons of softtissue flaps for buccal mucosa and tongue reconstruction 66. The link between writer and typewriter is often an intimate one that lasts for decades. Platysma muscle flap is an excellent flap for reconstruction of atrophied masseter. Cervicofacial flaps for head and neck reconstruction vula. Lores fascia a strong fixation point for neck rejuvenation. Explorations in writing and publishing 1st edition. We identified both platysma muscles just over the cricoid cartilage. It is a random flap comprising skin, subcutaneous fat, superficial neck veins, and platysma muscle. Constant infusion of saline to maintain an optical cavity.
Summary pectoralis major myocutaneous flap reconstruction of the defect following surgery for oral cancer in fourteen patients is described. Platysma sparing vascularized submental lymph node flap transfer for extremity lymphedema igor poccia, md,1 chiayu lin, msc,1 and minghuei cheng, md, mba 1,2 1division of reconstructive microsurgery, department of plastic and reconstructive surgery, chang gung memorial hospital, college of medicine, chang gung university, taoyuan, taiwan. These patients received surgical reconstruction of platysma flap and submental flap at the department of. Pdf platysma flap with zplasty for correction of post. Open access guest editorial kummoona platysma muscle flap. In platysma flap group single patient developed infection, while other patients developed hematoma and partial flap. Secondary face lift aesthetic surgery journal oxford. Pdf utility of superiorly based platysma myocutaneous.
This article will give you the information about connection of platysma muscle with double chins. The thinness of the flap, the color match, and the presence of functional subcutaneous muscle are unmatched by any other flap that does not originate on the face. This shortscar face lift with lateral smasectomy and platysma resection, performed by the author on more than 500 patients in the past 3 years, provides the versatility of traditional smas flap undermining and the safety and rapidity of smas plication. Platysma myocutaneous flap for intraoral defects jama.
Turnover platysma flaps also correct such a deformity. Platysma myocutaneous flap its current role in reconstructive surgery of oral soft tissue defects 5 skin paddle up to the mandible, leaving the platysma down. Platysma musculocutaneous flap for reconstruction of trachea in esophageal cancer harutsugu sodeyama, md, kiyoshi matsuo, md, katsuhiko ishizaka, md, chiharu takahashi, md, reiko hayashi, md, takai kuroda, md, and futoshi iida, md departments of surgery and plastic surgery, shinshu university school of medicine, matsumoto, japan in 2 patients with advanced cervical. Open access guest editorial kummoona platysma muscle. To compare the platysma flap with submental flap in terms of tumor and.
Use of a platysma myocutaneous flap for the reimplantation of a severed ear. Biologic basis of deepithelialized transverse platysma. Platysma myocutaneous flap for oral cavity reconstruction. The posteriorly based platysma flap in oral and facial reconstruction. The plane of elevation should include the sternocleidomastoid fascia, as. Pdf role of platysma muscle flap in depressed scars of neck. Research open access vertical platysma myocutaneous. Platysma flap with zplasty for correction of postthyroidectomy swallowing deformity. As a journalist for the new york times and esquire magazine during the 1960s. The treatment of acquired tef with platysma myocutaneous flap is an alternative. Athanasias spent a six month aesthetic fellowship with me and frequently visited. Kummoona platysma muscle flap for reconstruction of the. Reconstruction of maxilla dental implant human anatomy. Platysma flap indication defect from the palate to the larynx.
The submental flap is simpler, faster with a wide arc rotation can be used in different ranges of head and neck defects with. A brief presentation on the reconstruction options for maxillary defects. It includes the delicate superficial cervical fascia just deep to skin that envelopes the platysma and muscles of. Submental versus platysma flap for the reconstruction of. Minimal incision rhytidectomy short scar face lift with. Platysmasparing vascularized submental lymph node flap. In selected cases, the flap will extend to the oropharynx. Targeting these muscles with exercises in which they contract for a few seconds and relax builds muscle tissue that can effectively lift and tone your jowl area. Reconstruction of maxilla free download as powerpoint presentation. Pdf lateral cervical flap a good access for radical neck. The patient was extubated and transferred to the recovery room.
Unlisted or miscellaneous cpthcpcs codes should only be used if a more specific code has not been established category iii codes 0042t0504t may require prior approval if covered by original medicare. Useful for grade 4 trismus, in defects involving large areas of cheek lining and adjoining areas like the palate posteriorly and lower lip anteriorly. Methods total 65 patients were included in this study from march 2005 to december 2012. Summarya onestage technique for reconstruction of the posterior wall of the. C involved in data collection, analysis, interpretation, and writing the paper. The platysma muscle is found at the front of the neck, under the chin. Role of platysma muscle flap in depressed scars of neck.
Anatomical steps of thyroidectomy enlarged thyroid. Platysma musculocutaneous flap for reconstruction of. The innervated platysma musculocutaneous flap replaces facial tissue with like tissue. Superiorly based platysma myocutaneous flap was raised as described by gupta4 and used for reconstruction of the intraoral defects. Platysmal myocutaneous flap for reconstruction of t1,t2 tongue. Conclusions platysma muscle flap has a definitive role in revision surgery of depressed. Use of versatile platysma flap in oral and maxillofacial surgery. Here are some favorite brands of typewriter used by authors, past and present.
Also you will learn some great double chin exercise to strengthen platysma muscle to prevent your neck area from sagging a double chin appears when fat deposits accumulate in the platysma. The platysma myocutaneous flap for oral cavity reconstruction kevin h. Platysma is also a plant taxon synonym with podochilus, an orchid genus. Platysma myocutaneous flap for reconstruction of intraoral defects. The term platysma and anatomy was used to search pubmed and scopus, producing 394 and 214 papers, respectively. Superiorly based platysma myocutaneous flap was raised as described by gupta4 and used for. It is a broad sheet arising from the fascia covering the upper parts of the pectoralis major and deltoid. The role of the pectoralis major myocutaneous flap pmmf in head and. Platysma muscle flap was advanced into the defect after excision of. The platysma is a superficial muscle that overlaps the sternocleidomastoid. The majority of the flaps 8893% were taken successfully in both groups. Its flap may be used as superiorly, inferiorly or posteriorly based. Anatomy of the platysma muscle and the evaluation of it.
Role of platysma muscle flap in depressed scars of neck original. Platysma myocutaneous flap for patch stricturoplasty in. Turkey neck is more common in women than men, and many people seek cosmetic surgical procedures, such as a neck lift, to reduce the appearance of a sagging platysma. Submental versus platysma flap for the reconstruction of complex. While many people suffer from double chin problem, mostly people dont know the reason for their problem. To get rid of neck jowl, work the muscles around your mouth, jawline and neck, including the platysma, sternohyoid, depressor anguli oris, sternocleidomastoid and masseter. Reconstruction of the posterior wall of the pharynx using a. The platysma flap may be used to close defects on the lower face, buccal mucosa, and floor of mouth. The use of myocutaneous flaps has resulted in improved methods for reconstruction involving the head and neck area. Use of the innervated platysma flap in facial reanimation.
Among these 98 papers, 83 were excluded and 5 were added. The platysma flap can be harvested to medium size defects up to 70cm 2. Submental flap for reconstructing tongue defect with vy advancement flap for repairing submental defect. Pectoralis major myocutaneous flap for head and neck defects in. The pectoralis major flap comprises the pectoralis major muscle, with or without overlying skin, and may include the underlying ribs. Pdf on feb 22, 2012, raja kummoona and others published lateral.
The platysma myocutaneous flap for intraoral reconstruction was introduced in 1978. A fishermans knot was performed at that point no ties, and the muscles were sutured in the midline feldmans corset fashion. The problems and complications encountered have been found to be minimal. Subcutaneous fat and platysma triangle sheet of muscle at both sides of the neck are divided, and a subplatysmal dissection is made above the incision up to the level of the thyroid cartilage above, and the sternal notch, but remaining superficial to the anterior jugular veins.
On the other hand, if the dermal and fatty tissue remains over the platysma muscle after deepithelialization, the myodermal flap is a more accurate term. We would like to say thanks to hina saghir and the medical writers to help. The platysma myocutaneous flap for oral reconstruction. Platysma myocutaneous flap interposition in surgical management. It has an axial blood supply and is based superiorly on the pectoral branch of the thoracoacromial artery. The platysma myocutaneous flap pmf was first used for intraoral. Submental flap temoproparietalgalea flap temporalis flap platysma flap masseter flap sternocleidomastoid mastoid. The platysma myocutaneous flap offers an excellent alternative for reconstructing appropriate oral cavity defects resulting from tumor ablation. Platysma myocutaneous flap pmf is a generally used technique for defect reconstruction after an. The advantages of this flap are the proximity to the surgical area, and the fact that the skin island pedicled by platysma muscle is easily harvested and transplanted to the defect. Platysma myocutaneous flap for patch stricturoplasty in relieving short and benign cervical esophageal stricture yidan lin, md, yaoguang jiang, md, ruwen wang, md, taiqian gong, md, and jinghai zhou, md thoracic surgery department, daping hospital, third military medical university, chongqing city, china. I would dissect the smas platysma flap from the zygomatic arch to below the jaw line, down low in the neck, and then by doing a partial division posteriorly i would rotate the flap upward to contour the jaw line. Materials and methods platysma muscle flap was advanced into the defect after excision of depressed scar.
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