A case of buccal mucosa carcinoma reconstructed by platysma myocutaneous flap

概要

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Recently, free tissue transfer techniques using microvascular anastomosis have become generally accepted tools in reconstruction of the head and neck. However, such radical techniques cannot always be applied in cases of high-risk patients due to the possibility of serious complications. We describe here a case of buccal mucosa squamous cell carcinoma infiltrating the corner of the lip. The patient was a 74-year-old woman who had severe heart disease. Therefore, we performed an oral cavity reconstruction with platysma myocutaneous flap and chalinoplasty to avoid severe complications. The patient was discharged on the 14th postoperative day and no complications had occurred after a 9-month period. The platysma myocutaneous flap can be one alternative to free tissue transfer, especially in high-risk cases of buccal mucosa carcinoma.