We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Transverse platysma myocutaneous flap and facial artery-submental artery island myocutaneous flap for reconstruction of buccal defects following cancer surgery.
- Authors
Wei-liang Chen; Yong-jie Wang; Zhi-quan Huang
- Abstract
PURPOSE: To assess the reliability and usefulness of transverse platysma myocutaneous flaps and facial artery-submental artery island myocutaneous flaps for reconstruction of buccal mucosal defects following cancer surgery. METHODS: Twenty-seven buccal mucosal defects were repaired with transverse platysma myocutaneous flaps (n=15) and facial artery-submental artery island myocutaneous flaps (n=12) after resection of the buccal mucosa squamous cell carcinoma. Among them, 19 patients were males and 8 patients were females; the ages of the patients ranged from 38 to 74 years (56.4 years on average). Six patients were classified as 6 T1NOM0, 19 as T2NOM0, and 2 as T3NOM0. The sizes of the skin paddle ranged from 4.0 cm×8.0 cm to 5.0 cm×11.0 cm. RESULTS: The postoperative outcome for the platysma myocutaneous flaps was survival in 13 cases, including 3 cases with minimal partial necrosis, the success rate was 86.7% (13/15). The success rate of the facial artery-submental artery island myocutaneous flaps was 91.7% (11/12). The appearance and function of the recipient sites were well recovered. All the patients were followed up for 6-24 months (16 months on average), local recurrences were found in 1 case and cervical recurrence in 2 cases. CONCLUSIONS: The platysma myocutaneous flap and the facial artery-submental artery island myocutaneous flaps are suitable to repair small and medium-sized buccal mucosal defects. It seems that the facial artery-submental artery island myocutaneous flaps is more reliable than the platysma myocutaneous flap.
- Subjects
MUSCULOCUTANEOUS flaps; CANCER patients; DERMATOLOGIC surgery; SKIN cancer; NECROSIS; ARTERIES
- Publication
China Journal of Oral & Maxillofacial Surgery, 2008, Vol 6, Issue 6, p431
- ISSN
1672-3244
- Publication type
Article