The sub-fascial pattern of the myocutaneous platysma flap – The anatomical basis and preliminary cases for oral reconstruction. Issue 3 (March 2022)

• Record Type: Journal Article
• Authors: Hakim, Samer G.; Steller, Daniel; Falougy, Mohamed; Tharun, Lars; Sieg, Peter; Ciocan-Pendefunda, Constantin
• Is Part Of: Journal of cranio-maxillofacial surgery. Volume 50:Issue 3(2022)
• Page Start: 267
• Page End: 273
• Publication Date: 2022-03
• Subjects: Oral cavity -- Intraoral defects -- Musculocutaneous flap -- Platysma muscle -- Blood supply; Skull -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; Maxilla -- surgery -- Periodicals; Face -- surgery -- Periodicals; Skull -- surgery -- Periodicals; Oral Surgical Procedures -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Surgery, Plastic -- Periodicals; Surgery, Oral -- Periodicals; Electronic journals; 617.514
• DOI: 10.1016/j.jcms.2021.11.014
• Languages: English
• ISSNs: 1010-5182

Abstract

Abstract: To verify the feasibility of the SF-MPF for oral reconstruction, the anatomic, sonographic and histologic features of the SF-MPF were investigated and the outcome in a series of patients was evaluated. The sonographic and histologic results showed a supra-fascial arterio-venous vascular blood supply to the sub-fascial design of the MPF. The clinical course of 12 consecutive patients who underwent oral reconstruction using the SF-MPF along with ipsi- or lateral neck dissection for treatment of oral cancer showed sufficient pedicle length and reliable blood supply. The SF-MPF is a reliable and safe pedicled myocutaneous flap. Therefore, it should be considered being an additional option when a pedicled flap has to be selected. Graphical abstract: Image 1