Platysma musculocutaneous flap and cervical island flap for oral reconstruction

Vertical platysma myocutaneous flap reconstruction for T2-staged oral carcinoma.

The surgical resection of tumour-affected oral soft tissue structures often leads to tissue defects. Various techniques can be used for reconstruction. Our experience of using a vertical platysma myocutaneous flap in a group of patients who underwent reconstruction after T2-staged oral cancer surgical resection associated with neck dissection is described. Only one patient required a surgical r...

Biologic Basis of De-Epithelialized Transverse Platysma Flap for Oral Cavity Reconstruction

Introduction: The inferiorly and laterally based platysma myocutaneous flap contains hair in some ethnics; therefore, it is required to change the myocutaneous flap to myofascial flap to prevent the hair growth after its transfer to the oral cavity.   Materials and Methods: Five male mongrel dogs were selected for this study. De-epithelialized laterally based platysma fl...

Deltopectoral and Pectoralis Musculocutaneous Flap Technique for Cervical Esophageal Reconstruction after Free-Jejunal-Flap Necrosis

BACKGROUND Free jejunal transfer has a high success rate, but if vascular thrombosis occurs, the salvage of failing flap with reanastomosis is difficult. This study described a combined deltopectoral (DP) and pectoralis major musculocutaneous (PMMC) flap 2-step technique for cervical esophageal reconstruction after free-jejunal-flap necrosis. METHODS In step 1, the detection of free jejunal f...

subcutaneous forehead island flap for nasal reconstruction

Submental island pedicled flap vs radial forearm free flap for oral reconstruction: comparison of outcomes.

OBJECTIVE To compare intraoperative, postoperative, and functional results of submental island pedicled flap (SIPF) against radial forearm free flap (RFFF) reconstruction for tongue and floor-of-mouth reconstruction. DESIGN Multi-institutional retrospective review. SETTING Academic tertiary referral center. PATIENTS Consecutive patients from February 2003 to December 2009 undergoing resec...