Platysma is also a plant taxon synonym with podochilus, an orchid genus. Submental flap temoproparietalgalea flap temporalis flap platysma flap masseter flap sternocleidomastoid mastoid. Its flap may be used as superiorly, inferiorly or posteriorly based. Role of platysma muscle flap in depressed scars of neck original. 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.
Submental versus platysma flap for the reconstruction of. Here are some favorite brands of typewriter used by authors, past and present. Kummoona platysma muscle flap for reconstruction of the. Superiorly based platysma myocutaneous flap was raised as described by gupta4 and used for reconstruction of the intraoral defects. Platysma myocutaneous flap for oral cavity reconstruction. The platysma is a superficial muscle that overlaps the sternocleidomastoid. While many people suffer from double chin problem, mostly people dont know the reason for their problem. 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. As a journalist for the new york times and esquire magazine during the 1960s. Pdf platysma flap with zplasty for correction of post.
It is obvious that myodermal platysma flap is a little bit thicker than platysma myofascial flap. Anatomical steps of thyroidectomy enlarged thyroid. Reconstruction of the posterior wall of the pharynx using a. Cervicofacial flaps for head and neck reconstruction vula. Large area of the skin from the inferior part of the neck can be harvested for defects of the cheek. C involved in data collection, analysis, interpretation, and writing the paper.
Both platysma and submental flap techniques can be used for the reconstruction of complex facial defects with the acceptable functional outcomes. 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. 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. 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.
These patients received surgical reconstruction of platysma flap and submental flap at the department of. Summarya onestage technique for reconstruction of the posterior wall of the. Superiorly based platysma myocutaneous flap was raised as described by gupta4 and used for. 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. Platysma flap with zplasty for correction of postthyroidectomy swallowing deformity. Athanasias spent a six month aesthetic fellowship with me and frequently visited. Methods total 65 patients were included in this study from march 2005 to december 2012. Platysma myocutaneous flap for intraoral defects jama. 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. A brief presentation on the reconstruction options for maxillary defects. The treatment of acquired tef with platysma myocutaneous flap is an alternative. The posteriorly based platysma flap in oral and facial reconstruction. The role of the pectoralis major myocutaneous flap pmmf in head and.
Submental flap for reconstructing tongue defect with vy. 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. 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. To compare the platysma flap with submental flap in terms of tumor and. We identified both platysma muscles just over the cricoid cartilage. The term platysma and anatomy was used to search pubmed and scopus, producing 394 and 214 papers, respectively. Pdf on feb 22, 2012, raja kummoona and others published lateral. The submental flap is simpler, faster with a wide arc rotation can be used in different ranges of head and neck defects with. Materials and methods platysma muscle flap was advanced into the defect after excision of depressed scar. Biologic basis of deepithelialized transverse platysma.
It is a broad sheet arising from the fascia covering the upper parts of the pectoralis major and deltoid. Reconstruction of maxilla dental implant human anatomy. Conclusions platysma muscle flap has a definitive role in revision surgery of depressed. It is a random flap comprising skin, subcutaneous fat, superficial neck veins, and platysma muscle. 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. The patient was extubated and transferred to the recovery room. Platysma muscle flap is an excellent flap for reconstruction of atrophied masseter.
The link between writer and typewriter is often an intimate one that lasts for decades. Submental flap for reconstructing tongue defect with vy advancement flap for repairing submental defect. Use of versatile platysma flap in oral and maxillofacial surgery. Open access guest editorial kummoona platysma muscle flap. The platysma flap may be used to close defects on the lower face, buccal mucosa, and floor of mouth. Platysma muscle flap was advanced into the defect after excision of. The innervated platysma musculocutaneous flap replaces facial tissue with like tissue.
Role of platysma muscle flap in depressed scars of neck. Among these 98 papers, 83 were excluded and 5 were added. Platysmasparing vascularized submental lymph node flap. The plane of elevation should include the sternocleidomastoid fascia, as. Pdf utility of superiorly based platysma myocutaneous. The majority of the flaps 8893% were taken successfully in both groups. Open access guest editorial kummoona platysma muscle. Use of a platysma myocutaneous flap for the reimplantation of a severed ear. Use of the innervated platysma flap in facial reanimation. The platysma myocutaneous flap for oral cavity reconstruction kevin h. Pdf lateral cervical flap a good access for radical neck. Platysma myocutaneous flap for reconstruction of intraoral defects.
Secondary face lift aesthetic surgery journal oxford. 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. Platysma flap indication defect from the palate to the larynx. Reconstruction of maxilla free download as powerpoint presentation. A fishermans knot was performed at that point no ties, and the muscles were sutured in the midline feldmans corset fashion.
The platysma muscle is found at the front of the neck, under the chin. The problems and complications encountered have been found to be minimal. The platysma myocutaneous flap pmf was first used for intraoral. Platysmal myocutaneous flap for reconstruction of t1,t2 tongue. 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. The use of myocutaneous flaps has resulted in improved methods for reconstruction involving the head and neck area. The results of treatment of 36 patients tumour excision plus bilateral neck dissection and post. This article will give you the information about connection of platysma muscle with double chins. 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. 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. Constant infusion of saline to maintain an optical cavity. Submental versus platysma flap for the reconstruction of complex. Platysma myocutaneous flap for patch stricturoplasty in. In platysma flap group single patient developed infection, while other patients developed hematoma and partial flap.
Direct closure of the esophageal defect with a twolayer technique was done. Anatomy of the platysma muscle and the evaluation of it. The platysma myocutaneous flap offers an excellent alternative for reconstructing appropriate oral cavity defects resulting from tumor ablation. Minimal incision rhytidectomy short scar face lift with. The platysma flap can be harvested to medium size defects up to 70cm 2.
Explorations in writing and publishing 1st edition. Pectoralis major myocutaneous flap for head and neck defects in. Research open access vertical platysma myocutaneous. The pectoralis major flap comprises the pectoralis major muscle, with or without overlying skin, and may include the underlying ribs. Platysma musculocutaneous flap for reconstruction of. Platysma myocutaneous flap pmf is a generally used technique for defect reconstruction after an.
Summary pectoralis major myocutaneous flap reconstruction of the defect following surgery for oral cancer in fourteen patients is described. The platysma myocutaneous flap for intraoral reconstruction was introduced in 1978. Pdf role of platysma muscle flap in depressed scars of neck. It has an axial blood supply and is based superiorly on the pectoral branch of the thoracoacromial artery. In selected cases, the flap will extend to the oropharynx. We would like to say thanks to hina saghir and the medical writers to help.
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. 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. Lores fascia a strong fixation point for neck rejuvenation. 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. Useful for grade 4 trismus, in defects involving large areas of cheek lining and adjoining areas like the palate posteriorly and lower lip anteriorly. Local and regional flaps in head and neck reconstruction. The platysma myocutaneous flap for oral reconstruction. Turnover platysma flaps also correct such a deformity. Platysma myocutaneous flap interposition in surgical management. Comparisons of softtissue flaps for buccal mucosa and tongue reconstruction 66. It includes the delicate superficial cervical fascia just deep to skin that envelopes the platysma and muscles of.
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