Lafont Rufat Mònica, Nadal Cristobal Bartolomé, Saura Fillat Esther, Ruiz de la Cuesta Martín Domingo
Hospital Universitario Miguel Servet, Zaragoza, Spain.
J Maxillofac Oral Surg. 2014 Jun;13(2):84-6. doi: 10.1007/s12663-013-0485-8. Epub 2013 Feb 17.
The objective of this paper is to show that platysma flaps have good results and should be an alternative in reconstructive surgery for oral tumors when microsurgery is not possible. It is a versatile, portable, and thin flap, is easy to perform, and can be obtained during neck dissection, with a primary closure of the donor site.
Five cases are presented, three men and two women, 51 and 71 years old, with medium size (2-4 cm) defects of oral cavity after the excision of squamous cell carcinomas. All of them were reconstructed with a platysma flap after neck dissection. This reconstruction technique was chosen because of the poor conditions of these patients to allow a microsurgical reconstruction.
Non-local complications occurred with this technique. Overall aesthetic results were acceptable in all the patients. There were no cases of total necrosis flap, dehiscence, fistula or fibrosis. Only one case of partial necrosis occurred in one end of the flap, which was resolved with excision of necrotic tissue and closure by secondary intention.
The platysma flap is a good method to reconstruct small and medium sized defects of oral cavity, especially in patients where a microsurgery reconstruction is not possible.
本文的目的是表明颈阔肌皮瓣效果良好，在无法进行显微手术时应作为口腔肿瘤重建手术的一种选择。它是一种多功能、便于操作且薄的皮瓣，操作简便，可在颈部清扫术中获取，供区可一期缝合。
报告5例患者，3例男性，2例女性，年龄51至71岁，鳞状细胞癌切除术后口腔有中等大小（2 - 4厘米）的缺损。所有患者均在颈部清扫术后采用颈阔肌皮瓣进行重建。选择这种重建技术是因为这些患者的条件较差，无法进行显微外科重建。
该技术未出现局部并发症。所有患者的整体美学效果均可接受。没有皮瓣完全坏死、裂开、瘘管或纤维化的病例。仅1例皮瓣一端出现部分坏死，通过切除坏死组织并二期愈合闭合得以解决。
颈阔肌皮瓣是重建口腔中小型缺损的良好方法，尤其是在无法进行显微手术重建的患者中。
