Use of the inferiorly based platysma flap for hypopharyngeal reconstruction with laryngeal preservation

Friedman, Michael; Grybauskas, Vytenis; Chang, David W.

doi:10.1016/s1043-1810(10)80265-9

Operative Techniques in Otolaryngology-Head and Neck Surgery

1990

DOI: 10.1016/s1043-1810(10)80265-9

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Use of the inferiorly based platysma flap for hypopharyngeal reconstruction with laryngeal preservation

Michael Friedman¹,

Vytenis Grybauskas²,

David W. Chang³

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1990

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“…Our previously reported work with the inferiorly based platysma myocutaneous flap for reconstruction of the hypopharynx after cancer operations has demonstrated its suitability. 4 The platysma is a unique muscle lying within the subcutaneous tissue. As a type 2 muscle, the platysma has two major vascular pedicles.…”

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Platysma Myocutaneous Flap for Repair of Hypopharyngeal Strictures

Friedman

Schild²,

Venkatesan³

1990

Ann Otol Rhinol Laryngol

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Hypopharyngeal strictures, either isolated or in conjunction with laryngeal and esophageal strictures, can occur following lye ingestion. Extensive stricture formation requires reconstruction to create a functional funnel system that empties below the cricoid. Esophageal replacement is not a substitute for adequate hypopharyngeal reconstruction. The pectoralis major muscle is often inadequate, because it yields too much bulk and often leads to continued aspiration. The platysma myocutaneous flap for hypopharyngeal reconstruction has not been previously reported. The inferiorly based platysma myocutaneous flap was used in two of our patients with lye burns, and bilateral superiorly based flaps were used in one. All are able to eat normally and have no significant stenosis. The platysma myocutaneous flap is a relatively simple and reliable alternative that is within the capability of every head and neck surgeon.

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mentioning

confidence: 99%

Platysma Myocutaneous Flap for Repair of Hypopharyngeal Strictures

Friedman

Schild²,

Venkatesan³

1990

Ann Otol Rhinol Laryngol

Self Cite

View full text Add to dashboard Cite

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Use of the inferiorly based platysma flap for hypopharyngeal reconstruction with laryngeal preservation

Cited by 1 publication

References 5 publications

Platysma Myocutaneous Flap for Repair of Hypopharyngeal Strictures

Platysma Myocutaneous Flap for Repair of Hypopharyngeal Strictures

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