The platysma myocutaneous flap, operative techniques in. Role of platysma muscle flap in depressed scars of neck original. The aim of the study is to present our experience using vertical pmf that. Heres a pro tutorial on making decorative pockets flaps for pants or skirts.
Supraplatysmal submental artery perforator flap minimizing risk to the marginal mandibular nerve article pdf available in annals of plastic surgery 721 march 20 with 43 reads. As your experience progresses with injecting botulinum toxin type a botox cosmetic, you may venture into an area of the face that many practitioners once deemed offlimits. Use pdf export for high quality prints and svg export for large sharp images or embed your diagrams anywhere with the creately viewer. In 1917, now 100 years ago, the concept of the distant tubed pedicle skin flap was published.
Useful for grade 4 trismus, in defects involving large areas of cheek lining and adjoining areas like the palate posteriorly and lower lip anteriorly. Platysma muscle flap has a definitive role in revision surgery of depressed scars in neck as it provides an ideal tissue for lost tissue volume. A tried and true technique, this method can be effective when the only significant problem is loose skin. Our experience of using a vertical platysma myocutaneous flap in a group of patients who underwent reconstruction after t2staged oral cancer surgical resection associated with neck dissection is. Patients should not ingest alcohol or use tobacco 2 weeks prior to surgery. The fold and flap short truly a classic when it comes to girls shorts. The problems and complications encountered have been found to be minimal. In cases in which the surgical defect is small and the options for free flap use are limited, the platysma myocutaneous flap is a viable option. Treating the mentalis, depressor anguli oris, platysma and.
It was observed that after the platysma section lines had been marked on the skin and local infiltration 0. The platysma myocutaneous flap for oral reconstruction. But the best part is that you can make these with your choice of fabric and for a fortune less than you can find in any store. If you need to sew decorative patch pockets these sewing tips help you do a flap for these pockets correctly. A variety of predesigned templates available for you to quickly build flip ebook project in different style. Creately diagrams can be exported and added to word, ppt powerpoint, excel, visio or any other document. Typically a platysmaplasty is used to treat a sagging neck, also known as a turkey wattle. Desprez and kiehn 1959 reported the modified apron flap. Use of versatile platysma flap in oral and maxillofacial surgery. The platysma is elevated to the level of the thyroid cartilage.
A matlab package for adjustable precision floating. Role of platysma muscle flap in depressed scars of neck. It is a free tool for pdf to flipbook, office word, powerpoint, excel to flip book, ppt to flipbook and photo to flip album conversion. The arc of rotation is suitable for reconstruction of the lower lip, floor of mouth, ventral tongue, and lower one third of the face. The platysma myocutaneous flap pmf for head and neck reconstruction. Yet, it was only introduced to the english literature in 1978 by futrell et al, 1 and since then, it has become established as an attractive reconstructive alternative with several potential advantages. Rohrich, md, editorinchief of plastic and reconstructive surgery, discusses a new study that that created 3d models of 600 faces over 50 years to answer learn more about facial aging. Patients should discontinue use of aspirin, nonsteroidal antiinflammatory agents, anticoagulants, vitamin e, multivitamins, fish and flax seed oil, homeopathic remedies, and alkaseltzer 2 weeks prior to surgery. When and why do platysmaplasties fail persistent bands 3 weeks after surgery are almost always due to the surgeon having not sutured the platysma muscle together in the midline. Our tutorial allows you to modify and enhance your fold and flap shorts. The goals of facial reconstruction center on closing defects in an inconspicuous manner.
Psp facelift beverly hills platysma smas plication santa. Technically, a flap is a short panelthat measures less than half the dimension in widthin comparison to the other panels of the folded piece. By definition, there is nothing done to the deep facial tissues. Fold and flap short pdf pattern and tutorial sizes 2t 10. The platysma myocutaneous flap for oral cavity reconstruction kevin h. The advantages of this flap are the proximity to the surgical area, and the fact that the skin island pedicled by platysma muscle is easily harvested and transplanted to the defect. This reconstruction technique was chosen because of the poor. All of them were reconstructed with a platysma flap after neck dissection.
Five cases are presented, three men and two women, 51 and 71. Angiographic study of the platysma, abstract background. Free page flip creator to publish online html5 flipbooks. Flap design in facial reconstruction is particularly delicate given the face is the most visible structure of the body and has some of the most complex threedimensional topography. Score between the boxes in all directions, then fold both ways to make very flexible. Platysma is also a plant taxon synonym with podochilus, an orchid genus.
This flap receives its blood supply primarily from branches of the a. Materials and methods platysma muscle flap was advanced into the defect after excision of depressed scar. As we age, the platysma muscle starts to stretch and come apart in the middle, causing the sagging we start to see as we get older. Use your friends, family, or professors face and share it around. It is a broad sheet arising from the fascia covering the upper parts of the pectoralis major and deltoid. Pageflipflap was added by zyyne in jun 2011 and the latest update was made in apr 2020. Platysma myocutaneous flap for oral cavity reconstruction. It arises from the fascia covering the superior parts of the pectoralis major and the deltoideus. This flip flap needs to be very flexible and fold easily in any direction. The platysma muscle flap used for intraoral reconstruction was first described in 1978 by futrell and colleagues. The platysma is a superficial muscle that overlaps the sternocleidomastoid.
Platysma article about platysma by the free dictionary. The suture technique resembles the ties in a corset as one side is sewn to the other. Pdf part of the conceptual thinking that characterizes reconstructive surgery is to consider the. The submental flap is raised leaving at least 5 mm of fat deep to the skin. The platysma muscle is one of a pair of platelike, wide muscles at the side of the neck. Free flaps, particularly the radial forearm flap, provide excellent options for intraoral reconstruction of surgical defects. The diverse indications described for the platysma myocutaneous. Reconstruction of maxilla free download as powerpoint presentation. In 1951, edgerton described a lateral cervical island flap based on the platysma muscle for reconstruction of intraoral defects.
A corset platysmaplasty is the procedure of reattaching the left and right platysma muscles. To make this last then print and laminate these flip flaps. With this method, the platysma is tightened in an upward direction bringing it close to the chin fig. The platysma musculocutaneous flap has been used in 24 patients for reconstruction in the head and neck area. The platysma muscle is a circular muscle in the neck that acts as a corset to create the nice, smooth contour we see in youthful necks. It also improves the health of the person and is not painful. Clinical evaluation of the platysma muscles and subplatysmal fat is key to patient selection. Submental flap temoproparietalgalea flap temporalis flap platysma flap masseter flap sternocleidomastoid mastoid.
Pageflipflap alternatives and similar websites and apps. Flaps can serve as neat little opening mechanismswhen theyre folded to the. Reconstruction of the primary defect is an integral part of the surgical treatment of head and neck cancer. Role of platysma muscle flap in depressed scars of neck rakesh k. Summary pectoralis major myocutaneous flap reconstruction of the defect following surgery for oral cancer in fourteen patients is described. Reconstruction of maxilla dental implant human anatomy. Professor of plastic surgery cairo university 2014. The platysma myocutaneous flap for intraoral reconstruction was introduced in 1978. If youve ever seen a little short panel on a brochure,its called a flap. Platysma muscle flap was advanced into the defect after excision of.
Platysma muscle flap was advanced into the defect after excision of depressed scar. In this article, we describe 12 consecutive patients who underwent platysma flap reconstruction of various oral cavity and oropharyngeal defects. The journal brings readers uptotheminute reports on the latest techniques and followup for maxillofacial reconstruction, burn repair, cosmetic reshaping, as well as news on. A matlab package for adjustable precision floatingpoint arithmetic. A platysmaplasty is an operation of the muscle of the neck called the platysma. The platysma myocutaneous flap for oral cavity reconstruction. The platysma myocutaneous flap has seen limited application in the reconstruction of head and neck defects over the past decade. Anatomy, technique, and applications video 3 limbergs flap. On the worlds market this is unique,innovative method as it uses specially designed electrodes which stimulate the large muscle groups. Pdf vertical platysma myocutaneous flap reconstruction. The posteriorly based platysma flap in oral and facial reconstruction. The results of treatment of 36 patients tumour excision plus bilateral neck dissection and post.
The platysma myocutaneous flap has enjoyed limited popularity despite its versatility, dependability, and ease of harvesting. Create your own flappy bird parody game flappy creator. The operation removes the excess platysma and tightens the muscle much like a corset in order to improve. The platysma myocutaneous flap dates back to 1887 when an austrian surgeon, robert gersuny, described repair of a cheek defect. Extended nasolabial flap compared with the platysma myocutaneous muscle flap for re construction of intraoral defects after release of oral submucous fibrosis. The platysma myocutaneous flap pmf was first used for intraoral. The platysma flap has often been used for reconstructions of the head and neck, but the arterial anatomy of the platysma itself has not been clarified. Platysmal myocutaneous flap for reconstruction of t1,t2 tongue. Here are examples of flaps folded to the interiorand exterior of a brochure. Superiorly based platysma myocutaneous flap was raised as described by gupta4 and used for reconstruction of the intraoral defects. There are anatomical and physiological reasons for this. Tissues are lifted from a donor site and moved to a recipient site with an intact blood supply what is a flap. Most authors who described the technique used a superiorly based flap, elevated the skin flap to fully expose the platysma, and ensured a minimum muscle. Flappy creator create your very own flappy bird parody game with custom images and audio clips.
In order to attain balance and symmetry in the upper face, you consider injecting botox into the lower onethird of the face. Vertical platysma myocutaneous flap that sacrifices the facial artery. Traditional facelifts do just what their name states. Rakesh kumar sandhir, a402, sector 31, noida 201 303, india. The platysma flap was first used by gersuny 1887 for reconstruction of a throughandthrough cheek defect. Platysmaplasty a surgical resolution for the turkey neck. A brief presentation on the reconstruction options for maxillary defects. Pdf supraplatysmal submental artery perforator flap. Its possible to update the information on pageflipflap or report it as discontinued, duplicated or spam.
Fortunately, the robust vascular supply of the face allows. Platysma myocutaneous flap pmf is a generally used technique for defect reconstruction after an oral cancer resection. Platysma myocutaneous flap for reconstruction of intraoral defects. Hes the coauthor of getting started with raspberry pi and the author of getting started with beaglebone. The objective of this paper is to show that platysma flaps have good results and should be an alternative in reconstructive surgery for oral tumors when microsurgery is not possible. Stewart jan 30 2009 abstract flap is a package to implement. Matt richardson is a san franciscobased creative technologist and contributing editor at make.
Pdf role of platysma muscle flap in depressed scars of neck. It is a versatile, portable, and thin flap, is easy to perform, and can be obtained during neck dissection, with a primary closure of the donor site. You can edit this template and create your own diagram. Even though we all get older, facial aging is still widely misunderstood.
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