Platysma transverse myocutaneous flap: a 21 case series of an overlooked reconstructive method for facial skin defects

Girardi, Fábio Muradás; Hauth, Luiz Alberto; Abentroth, Aliende Lengler

doi:10.1016/j.bjorl.2019.10.011

Cited by 2 publications

(2 citation statements)

References 13 publications

(23 reference statements)

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“…13 Finally, for this flap, a long and narrow flap, especially crossing the neck midline, is more likely to lead to poor outcomes. 15 A free flap is another common choice. Compared with preexpanded cervico-acromial flap, the free flap could solve all the problems after just 1 visit and 1 operation.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of Soft Tissue Defects on the Face, Neck, and Chest by Expanded Cervico-Acromial Flap

Chen

et al. 2021

Journal of Craniofacial Surgery

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Background: Repairing the defects of face and neck remains a big challenge for plastic surgeons. Here we present a case series of preexpanded cervico-acromial flaps in the repair of soft tissue defects. Method: This is a retrospective study that a total of 126 patients between 2001 and 2019 were included. One patient was excluded since he did not complete the treatment. All patients were followed for at least 0.5 years (range: 0.5-4 years, mean 2.50 years) after surgery.Results: All patients are satisfied with the appearance. The color and texture of expanded flaps were similar to surroundings. One patient (0.8%) had complete necrosis and received skin grafts. The size of cervico-acromial was 26-10 Â 14-6 cm (mean, 15.389 AE 2.701Â 8.341 AE 1.075 cm). The time of operation during stage 1 was 59.254 AE 9.895 minutes, 96.912 AE 18.936 minutes during stage 2, and 38.146 AE 9.478 minutes during stage 3. Surgical complication rate was 14.3%, given that 18 patients had complications following the surgery. Conclusions: The cercico-acromial flap is a reliable and multifunctional method for face, neck, and chest reconstruction.

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Section: Discussionmentioning

confidence: 99%

“…Second, it is not large enough to cover a big wound: it can cover the wound area is in the range of 50 to 75 cm 2 13 . Finally, for this flap, a long and narrow flap, especially crossing the neck midline, is more likely to lead to poor outcomes 15 …”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Soft Tissue Defects on the Face, Neck, and Chest by Expanded Cervico-Acromial Flap

Chen

et al. 2021

Journal of Craniofacial Surgery

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Reconstruction of a Submandibular Soft Tissue Defect with a Temporoparietal Fasciocutaneous Flap - A Case Report

Shetty,

Khaire,

Thopte

et al. 2024

Annals of Maxillofacial Surgery

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Rationale: Reconstruction of soft tissue defects in the facial region have always been challenging. Appropriate selection of flaps will result in minimal morbidity and restore the tissue form without compromising function. Patient Concerns: During reconstruction in the facial region, patients desire to have minimal visible scar and functions of the jaw bone. Diagnosis: The article discusses a case of right space infection with soft tissue loss in the submandibular region. Treatment: The fascial spaces were explored and the odontogenic foci of infection were removed. The soft tissue defect in the submandibular region was resurfaced using the temporoparietal fasciocutaneous flap. Outcomes: The flap was well settled, and facial contours were maintained with reasonable facial symmetry. Take-away Lessons: Surgical skill in the management of soft tissue defects in the fascial region demands sound knowledge of the facial region, selection of the flap and meticulous execution of the surgical plan.

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Platysma transverse myocutaneous flap: a 21 case series of an overlooked reconstructive method for facial skin defects

Cited by 2 publications

References 13 publications

Reconstruction of Soft Tissue Defects on the Face, Neck, and Chest by Expanded Cervico-Acromial Flap

Reconstruction of Soft Tissue Defects on the Face, Neck, and Chest by Expanded Cervico-Acromial Flap

Reconstruction of a Submandibular Soft Tissue Defect with a Temporoparietal Fasciocutaneous Flap - A Case Report

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