Division of Maxillo-Facial Surgery, Physiopathology Department, S. Giovanni Battista Hospital, University of Turin, Turin, Italy.
J Craniomaxillofac Surg. 2012 Dec;40(8):e415-8. doi: 10.1016/j.jcms.2012.02.015. Epub 2012 Mar 22.
The platysma myocutaneous flap (PMF) was first applied to intraoral reconstructions in 1978. PMF is not only an alternative to microvascular flaps but it also represents an excellent reconstructive choice especially in cases where free tissue transfer cannot be carried out. Failure and complications rate have been described as varying from 18 to 45% and this is why this flap should not be used in specific cases such as in the presence of cervical metastases and in cases of mandibulectomy and simultaneous reconstruction with alloplastic materials. The purpose of this study is to examine the experience and results obtained in three different and independent institutes where PMF has been adopted in 91 patients for head and neck cancer reconstructions. The authors report their departments' separate but simultaneous experiences with PMF for small and middle-size soft tissue defects in a 10-year period.
颈阔肌肌皮瓣（PMF）于 1978 年首次应用于口腔内重建。PMF 不仅是微血管皮瓣的一种替代选择，而且还是一种出色的重建选择，尤其是在无法进行游离组织转移的情况下。失败和并发症的发生率已被描述为 18%至 45%，因此，不应在特定情况下使用这种皮瓣，例如存在颈部转移、下颌骨切除术和同时使用同种异体材料进行重建的情况。本研究的目的是检查三个不同且独立的机构的经验和结果，这三个机构共 91 例头颈部癌症患者采用了 PMF 进行重建。作者报告了他们科室在 10 年期间单独但同时使用 PMF 治疗小型和中型软组织缺损的经验。
