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Application of muscle pedicled platysma myocutaneous flap in the reconstruction of buccal mucosa defects.

Abstract This study aimed to explore the main features and advantages of the muscle pedicled platysma myocutaneous flap (PMF), the degree of improvement of flap harvest. To evaluate the application value of the flap in the reconstruction of buccal mucosa carcinoma defects.
PMID
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BIPADDLED SPLIT PECTORALIS MAJOR MYOCUTANEOUS FLAPS FOR IMMEDIATE RECONSTRUCTION OF ORAL MUCOSAL DEFECTS AND NECK DEFECTS AFTER RESECTION OF RECURRENT ORAL CANCER.

Authors

Mayor MeshTerms

Mouth Mucosa

Myocutaneous Flap

Reconstructive Surgical Procedures

Keywords

MacFee incision

buccal carcinoma

buccal mucosa defect

platysma myocutaneous flap

reconstruction

Journal Title hua xi kou qiang yi xue za zhi = huaxi kouqiang yixue zazhi = west china journal of stomatology
Publication Year Start




PMID- 28682546
OWN - NLM
STAT- MEDLINE
DA  - 20170706
DCOM- 20170807
LR  - 20170807
IS  - 1000-1182 (Print)
IS  - 1000-1182 (Linking)
VI  - 35
IP  - 2
DP  - 2017 Apr 01
TI  - [Application of muscle pedicled platysma myocutaneous flap in the reconstruction 
      of buccal mucosa defects].
PG  - 162-166
LID - 10.7518/hxkq.2017.02.010 [doi]
AB  - OBJECTIVE: This study aimed to explore the main features and advantages of the
      muscle pedicled platysma myocutaneous flap (PMF), the degree of improvement of
      flap harvest. To evaluate the application value of the flap in the reconstruction
      of buccal mucosa carcinoma defects. METHODS: Twenty-three patients received PMF
      with MacFee incision to reconstruct buccal mucosa defects that were caused by the
      resection of precancer lesions and benign and malignant tumors from August 2012
      to April 2015. When elevating the cervical skin from the platysma, most of the
      subcutaneous tissue was preserved on the muscle. The continuity of the facial
      vessels was retained. The external jugular vein was preserved on the reverse side
      of the platysma. RESULTS: Twenty-one flaps survived completely, whereas the other
      two flaps presented partial skin loss. Two patients showed disturbed wound
      healing in the neck. Secondary healing was achieved after attentive wound care.
      All patients were followed up from 11 to 43 months. The function of the recipient
      sites recovered well. Except for the two patients with large-area scarring in the
      neck, the remaining cases presented satisfactory neck contours. No relapses were 
      observed during the follow-up period. CONCLUSIONS: Compared with the traditional 
      PMF, the muscle pedicled PMF provides a larger skin paddle and presents a better 
      aesthetic and functional effect. Thus, this approach is a novel and ideal option 
      for the restoration of buccal mucosa defects.
FAU - Long, Huang
AU  - Long H
AD  - Centre of Stomatology, Xiangya Hospital, Central South University, Changsha
      410008, China.
FAU - Xinchun, Jian
AU  - Xinchun J
AD  - Centre of Stomatology, Xiangya Hospital, Central South University, Changsha
      410008, China.
FAU - Xinqun, Chen
AU  - Xinqun C
AD  - Centre of Stomatology, Xiangya Hospital, Central South University, Changsha
      410008, China.
FAU - Tong, Su
AU  - Tong S
AD  - Centre of Stomatology, Xiangya Hospital, Central South University, Changsha
      410008, China.
FAU - Canhua, Jiang
AU  - Canhua J
AD  - Centre of Stomatology, Xiangya Hospital, Central South University, Changsha
      410008, China.
LA  - chi
PT  - Journal Article
PL  - China
TA  - Hua Xi Kou Qiang Yi Xue Za Zhi
JT  - Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal 
      of stomatology
JID - 9422648
SB  - D
SB  - IM
MH  - Face
MH  - Humans
MH  - *Mouth Mucosa
MH  - Mouth Neoplasms/*surgery
MH  - *Myocutaneous Flap
MH  - Neck
MH  - Neck Muscles
MH  - Neoplasm Recurrence, Local
MH  - Postoperative Complications
MH  - *Reconstructive Surgical Procedures
MH  - Surgical Flaps
OTO - NOTNLM
OT  - MacFee incision
OT  - buccal carcinoma
OT  - buccal mucosa defect
OT  - platysma myocutaneous flap
OT  - reconstruction
EDAT- 2017/07/07 06:00
MHDA- 2017/08/08 06:00
CRDT- 2017/07/07 06:00
AID - 10.7518/hxkq.2017.02.010 [doi]
PST - ppublish
SO  - Hua Xi Kou Qiang Yi Xue Za Zhi. 2017 Apr 1;35(2):162-166. doi:
      10.7518/hxkq.2017.02.010.