title: Platysma flap using dual skin paddles.
abstract: The platysma myocutaneous flap is rarely reported as an option for reconstruction in the head and neck. In our experience it is a reliable flap that is easy to raise, has a limited risk of morbidity at the donor site, and allows for early recommencement of oral function. We report a patient with an unusually aggressive orocutaneous fistula that complicated the simple extraction of teeth. We modified the platysma flap to provide two independent skin paddles so we could reconstruct both the intraoral and cutaneous defects simultaneously with a good clinical outcome.
authors.affiliation: West Midlands Deanery. Electronic address: welcome@el-mustafa.com.
authors.forename: El Muiz A
authors.initials: el MA
authors.lastname: Mustafa
authors.affiliation: West Midlands Deanery.
authors.forename: Sunil K
authors.initials: SK
authors.lastname: Bhatia
authors.affiliation: West Midlands Deanery.
authors.forename: Doug E
authors.initials: DE
authors.lastname: Hammond
mesh_terms: D006257:Head; D006801:Humans; D009333:Neck; D009334:Neck Muscles; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps
keywords: Nicorandil; Oral-cutaneous; Orocutaneous fistula; Platysma flap; Platysma myocutaneous flap; Regional flap