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Abstract

Surgical Medicine Open Access Journal

Efficacy of Platysmal flap for Surgical Defects Reconstruction in Oral Submucous Fibrosis: A Literature Review

  • Open or CloseAnu Jose1*, Rishita Lamechwal2, Sushmit Priyam Bora3, Varsha Shankar4, Riddhi H Mahalle5 and Prathamesh Karande6

    1Senior Lecturer, Department of Oral and Maxillofacial Surgery, MES Dental College and Hospital, Kerala

    2Assistant Professor, Department of Oral and Maxillofacial Surgery, Government Dental college and Research Institute, Bengaluru

    3Consultant, Oral and Maxillofacial Surgeon, Niramoy Hospital and Research Centre, Assam

    4Consultant, Oral and Maxillofacial Surgeon, Impressions Dental Specialties, Bangalore

    5Senior Lecturer, Department of Oral and Maxillofacial Surgery, VYWS Dental College and Hospital, Amravati

    6Fellow, Head and Neck Oncosurgery, Kolhapur Cancer Centre, Maharashtra

    *Corresponding author:Anu Jose, Senior Lecturer, Department of Oral and Maxillofacial Surgery, MES Dental College and Hospital, Perinthalmanna, Kerala, India.

Submission:October 08, 2024;Published: October 25, 2024

DOI: 10.31031/SMOAJ.2024.06.000628

ISSN : 2578-0379
Volume6 Issue1

Background: The platysma myocutaneous flap is a promising reconstructive option with a number of potential benefits. The flap’s vascularity is quite dependable because it contains both muscle and skin. Esthetic superiority makes it advisable to be used in younger age group.
Objectives: To evaluate the efficacy of using Platysma flap for reconstruction of surgical defects in oral submucous fibrosis.
Data Sources: Using the PRISMA guidelines, a comprehensive and systematic search was done to identify evidence on literature related to surgical reconstruction of oral submucous fibrosis using platysmal myocutaneous flap. The search was carried out using the Medical Subject Headings (MeSH) terms: phrases “Platysmal myocutaneous flap” and “Oral submucous fibrosis”.
Result: Five of the 21 study articles that were found through the literature search were used in this review after being chosen based on predetermined eligibility criteria. The review showed that platysmal flap is an esthetically superior option for reconstruction of intraoral defects created by oral submucous fibrosis with minimal complications.
Discussion: This systematic literature analysis demonstrated that due to these large benefits and minor negatives platysma myocutaneous flap may possibly assume a key role in surgical management of oral submucous fibrosis. Unaffected Facial esthetics without causing commissure expansion and a pinched lip appearance, hidden scars behind collars and superior patient compliance add to its advantages. Although there is some variability in thickness of platysma and length of the patient’s neck, its arc of rotation, thinness and pliability makes it a beneficial reconstruction choice.

Keywords:Platysmal myocutaneous flap; Oral submucous fibrosis; Patient compliance; Surgical; Quality assessment techniques

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