Journal of Tissue Engineering and Reconstructive Surgery ›› 2018, Vol. 14 ›› Issue (5): 272-274.doi: 10.3969/j.issn.1673-0364.2018.05.010

• Original article • Previous Articles     Next Articles

Application of Platysma Musculocutaneous Flap in the Repair of Maxillofacial Trauma

LIU Li,LIU Hongchao   

  1. Department of Surgery,People’s Hospital of Congtai District; Department of Surgery,Zunhua People’s Hospital
  • Received:2018-06-20 Published:2020-07-23
  • Contact: 邯郸市科学技术研究与发展计划(1220108088-11)

Abstract: Objective To explore the clinical efficacy of platysma musculocutaneous flap in the repair of maxillofacial trauma. Methods A total of 125 patients with maxillofacial trauma treated in our hospital from June 2015 to December 2017 were retrospectively analyzed. Sixty -three patients were treated with platysma musculocutaneous flap as the experimental group, while 62 patients were treated with anterolateral thigh musculocutaneous flap as the control group. The operation time, intra-operative blood loss, hospitalization days, donor wound healing time, wound healing time, maxillofacial function score and complication rate were compared between the two groups. Results The operation time, intra-operative blood loss and wound healing time of the donor side in the experimental group were significantly lower than those in the control group (P<0.01). There was no significant difference in the length of hospital stay and wound healing time between the two groups (P>0.05). The score of maxillofacial function in the experimental group was significantly higher than that in the control group (P<0.01). The skin flap necrosis rate (3.17% vs. 11.29%) and the complication rate (12.70% vs. 24.9%) of the experimental group were both significantly lower than that of the control group (P<0.05). Conclusion Repairing the maxillofacial trauma with the platysma musculocutaneous flap can significantly reduce the intra-operative risk, improve the prognostic function of the maxillofacial region and reduce complications. It is worthy of clinical promotion.

Key words: Platysma musculocutaneous flap, Anterolateral thigh musculocutaneous flap, Maxillofacial trauma, Repair

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