Baur Dale A, Helman Joseph I
US Army, USA.
J Oral Maxillofac Surg. 2002 Oct;60(10):1147-50. doi: 10.1053/joms.2002.34989.
The purpose of this study was to assess the reliability and use of the posteriorly based platysma flap for oral and facial reconstruction.
This case series consists of 7 patients who were reconstructed with a posteriorly based platysma flap for various tumor resection defects of the oral and facial region. The flaps were monitored for complications, including skin loss and ischemia in the postoperative period.
Three of the patients (43%) in this study had no complications. Three patients (43%) had some skin sloughing, but the underlying muscle remained viable and mucosalized normally. One patient (14%) had 40% flap loss of the distal end, possibly due to vascular compromise that occurred during a concomitant neck dissection.
The posteriorly based platysma flap is a reliable reconstruction option for defects in the facial and oral region. If skin sloughing occurs, it is usually inconsequential for intraoral reconstruction as the underlying muscle remains viable and undergoes epithelialization.
本研究旨在评估以颈阔肌后份为蒂的肌皮瓣在口腔颌面部重建中的可靠性及应用情况。
本病例系列包含7例患者，他们因口腔颌面部各种肿瘤切除术后缺损，采用以颈阔肌后份为蒂的肌皮瓣进行重建。术后对皮瓣进行监测，观察有无并发症，包括皮肤坏死和缺血情况。
本研究中有3例患者（43%）未出现并发症。3例患者（43%）出现了一些皮肤脱屑，但深层肌肉仍存活且正常黏膜化。1例患者（14%）皮瓣远端出现40%的坏死，可能是由于同期行颈部淋巴结清扫时发生了血管损伤。
以颈阔肌后份为蒂的肌皮瓣是口腔颌面部缺损可靠的重建选择。若发生皮肤脱屑，对于口腔内重建通常影响不大，因为深层肌肉仍存活并可发生上皮化。
