Abstract
INTRODUCTION: Maxillofacial reconstruction strives to restore the form and function of the maxillofacial region in patients with deformities caused by trauma, disease, cancer, or congenital malformations. An array of surgical procedures has been advised for restoring soft tissues in the oral cavity, with varied degrees of efficacy. This prospective study seeks to provide a thorough understanding of the success rate, complications, functional outcomes, and patient satisfaction associated with the utilization of platysma myocutaneous flap (PMF) in this specialized domain. AIM: This study aims to elaborate on the PMF surgical technique, along with the flap design, outcomes, and intricacies associated with age, gender, the recipient site, and defect size. MATERIALS AND METHODS: The study included 30 patients with oral malignancies who intervened under general anesthesia with wide local excision and reconstruction with PMF at a single tertiary care center. RESULTS: The results showed that the PMF is an efficient flap in the context of its ease of harvest, minimal donor site morbidity, low complication rates (infection - 26.67%, flap dehiscence - 16.67%, and flap necrosis - 6.77%), and ability to rehabilitate both form and function. CONCLUSION: In conclusion, the PMF stands as a viable alternative in oral and maxillofacial reconstruction, offering a combination of versatility, reliable blood supply, and potential for functional restoration.