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Management of Extended Parotid Tumors pp 159–166Cite as

Platysma Myocutaneous Flap: A Solution for Reconstruction of Defects After Extended Parotidectomy

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Abstract

In order to cover postoperative defects after removal of extended parotid tumors, the surgeon can use local flaps (rotated or translated random fasciocutaneous flaps or platysma myocutaneous flap), locoregional (major pectoralis myocutaneous flap), or microvascular free flaps (radialis or latissimus dorsi). The most suitable technique depends on local factors, such as size of the defect, structures involved by tumor resection, previous neck surgery or irradiation, the need to perform neck dissection, and general factors, such as preoperative status and treatment compliance of the patients.

In cases with poor general condition, in which tumor involved the overlying skin, a good and reliable option to cover the postoperative defect is a platysma myocutaneous flap. The advantages are low donor site morbidity, the flap can be harvested at the time of tumor resection, and rising of it facilitates neck dissection. The main disadvantage is represented by the vascularity problems. The esthetic result is satisfactory, but in these patients, local control of the tumor comes in front of cosmetics. The postoperative sequelae are not due to flap harvesting, but secondary to extended parotidectomy, and can be addressed later.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Fachklinik Hornheide Münster, Münster, Germany

    Constantin-Cătălin Ciocan-Pendefunda MD, DMD, PhD

  2. Department of Surgery (Dentoalveolar Surgery, Oral and Maxillofacial Surgery), Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania

    Eugenia I. Popescu DMD, PhD

  3. Department of Oral and Maxillo-Facial Surgery, Faculty of Dental Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, “St. Spiridon” University Hospital, Iasi, Romania

    Victor-Vlad Costan MD, DMD, PhD

Authors
  1. Constantin-Cătălin Ciocan-Pendefunda MD, DMD, PhD
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  2. Eugenia I. Popescu DMD, PhD
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  3. Victor-Vlad Costan MD, DMD, PhD
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Correspondence to Constantin-Cătălin Ciocan-Pendefunda MD, DMD, PhD .

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Editors and Affiliations

  1. University of Medicine and Pharmacy, Iasi, Romania

    Victor-Vlad Costan

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Ciocan-Pendefunda, CC., Popescu, E.I., Costan, VV. (2016). Platysma Myocutaneous Flap: A Solution for Reconstruction of Defects After Extended Parotidectomy. In: Costan, VV. (eds) Management of Extended Parotid Tumors. Springer, Cham. https://doi.org/10.1007/978-3-319-26545-2_17

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  • DOI: https://doi.org/10.1007/978-3-319-26545-2_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26543-8

  • Online ISBN: 978-3-319-26545-2

  • eBook Packages: MedicineMedicine (R0)

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