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Otorinolaringologia 2005 June;55(2):63-71


language: Italian

Surgical reconstruction with platysma myocutaneous flap, following limited demolitions in oral cavity carcinomas

Cavalot A. L., Ricci E., Piumetto E., Albera R.

Sezione ORL, Dipartimento di Fisiopatologia Clinica Università degli Studi di Torino, Torino


Aim. In the last years the demolitive surgical techniques for head and neck oncological lesions and the importance of surgical techniques that have a satisfactory reliability and lead to a good reconstructive result have improved as well as the awareness of the necessity of an immediate repair that could guarantee a short post-operative course and a satisfactory functional recover. Among the various surgical techniques the platisma myocutaneous flap represents an effective alternative.
Methods. In our study this reconstructive technique has been performed over 6 years (from 1998-2004) in 14 patients (8 males and 6 females, 55 years old on average) with neoplastic lesions in different sites of the oral cavity. The tumours were always small size lesions (9 T1 e 5 T2) and in 4 cases there were nodal metastasis (3 N1 e 1 N2a). The surgical treatment was performed without any pre-operative radiotherapy or chemotherapy. In our patients the immediate and the long-term morbidity rates have been evaluated both at the receiver’s and at the donor’s site.
Results. In 2 patients we observed a total necrosis of the cutaneous surface of the flap (in one case extended to the underlying muscular portion); in other 2 cases we had a partial necrosis, well healed in second intention. We reported only 1 case of complication at the donor’s site and 1 relapse after 8 months from the operation.
Conclusion. Our study shows that, compared to other reconstructive techniques, the platysma myocutaneous flap offers several advantages and it is quite easy to perform and offers a good versatility and effectiveness; for these reasons this technique should be in the store of knowledge of head and neck surgeons.

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