Platysma Myocutaneous Flap: A Solution for Reconstruction of Defects After Extended Parotidectomy

In order to cover postoperative defects after removal of extended parotid tumors, the surgeon can use local flaps (rotated or translated random fasciocutaneous flaps or platysma myocutaneous flap), locoregional (major pectoralis myocutaneous flap), or microvascular free flaps (radialis or latissimus dorsi). The most suitable technique depends on local factors, such as size of the defect, structures involved by tumor resection, previous neck surgery or irradiation, the need to perform neck dissection, and general factors, such as preoperative status and treatment compliance of the patients.