The plastysma myocutaneous flap.

Reconstructing extirpative defects of the oral cavity or face frequently presents a significant challenge to the surgeon. This article discusses two versions of the platysma myocutaneous flap that have proved to be reliable and versatile methods for reconstructing defects of the oral cavity, lower face, and ear. The advantages of these regional axial pattern flaps include good color match, appropriate thickness, minimal donor site morbidity, easy harvesting, and an adjacent donor site in the same operative field. A thorough understanding of the pertinent anatomy, particularly with respect to the location where the vascular supply enters the flap pedicle, is critical to the success of this flap.