Cheek reconstruction following facial malignant melanoma surgery with the platysma myocutaneous flap

Abstract The aim of this study was to evaluate the results of large cheek skin defect reconstruction using a superiorly based platysma myocutaneous flap accompanied by facial artery and vein preservation, following cutaneous head and neck melanoma surgery. This study offers new insight into a proced...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2015-10, Vol.44 (10), p.1236-1239
Main Authors: Pegan, A, Rašić, I, Bedeković, V, Ivkić, M
Format: Article
Language:English
Subjects:
Aged
Cheek - blood supply
Cheek - surgery
facial reconstruction
Female
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - surgery
head and neck oncology
Humans
Male
Melanoma - pathology
Melanoma - surgery
Melanoma, Cutaneous Malignant
Middle Aged
midfacial third defects
Myocutaneous Flap - blood supply
Neck Dissection
Plastic Surgery Procedures - methods
platysma myocutaneous flap
Postoperative Complications
Sentinel Lymph Node Biopsy
Skin Neoplasms
Surgery
Treatment Outcome
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Summary:Abstract The aim of this study was to evaluate the results of large cheek skin defect reconstruction using a superiorly based platysma myocutaneous flap accompanied by facial artery and vein preservation, following cutaneous head and neck melanoma surgery. This study offers new insight into a procedure that is a viable, but infrequently used reconstruction option. The authors report the cases of 13 consecutive patients with cheek skin defects following melanoma surgery who underwent reconstruction with a superiorly based platysma myocutaneous flap. The procedures were performed at a tertiary clinical centre and a national melanoma surgery referral centre between 2001 and 2008. According to the disease stage, eight patients underwent sentinel lymph node biopsy and five underwent comprehensive neck dissections. All of the patients were monitored for any complications related to the donor and recipient sites. Minor venous congestion of the flap was noted in two patients, with minor marginal skin necrosis in one patient. None of the patients had donor site complications. The superiorly based platysma flap proved to be a safe and reliable option for large cheek defect reconstruction, especially considering that it is a single-stage reconstruction procedure ensuring excellent colour-matching and low donor site morbidity.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2015.02.023